VR Biofeedback Focused Psychotherapy P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VR BIOFEEDBACK FOCUSED PSYCHOTHERAPY P.C.

Practice address

30131 Town Center Dr Ste 292
Laguna Niguel, CA 92677-2086

Phone

(949) 391-3849

NPI assigned

Sep 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Holly Grupe, LMFT

Title

Ceo

Phone

(949) 391-3849

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504396800000",
    "number": "1548788144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S MONTILLA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726000",
            "telephone_number": "949-391-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 292",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772086",
            "telephone_number": "949-391-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VR BIOFEEDBACK FOCUSED PSYCHOTHERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-03",
        "last_updated": "2017-09-03",
        "status": "A",
        "authorized_official_last_name": "GRUPE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-391-3849",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235479395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.