Grow With Me- Creciendo Juntos

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

GROW WITH ME- CRECIENDO JUNTOS

Practice address

720 S Frontage Rd Ste 103
Nipomo, CA 93444-5626

Phone

(805) 242-6522

Fax

(805) 540-5890

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blanca N GarciaNPI 1497881999

Title

Executive Director

Phone

(805) 598-7175

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blanca Nelly Garcia

  • Mental Health Counselor
  • Nipomo, CA
  • NPI 1497881999
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1558056911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S FRONTAGE RD STE 103",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445626",
            "telephone_number": "805-242-6522",
            "fax_number": "805-540-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S FRONTAGE RD STE 103",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445626",
            "telephone_number": "805-242-6522",
            "fax_number": "805-540-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW WITH ME- CRECIENDO JUNTOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-598-7175"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Joy Gloeckner, RDH
• Lisa Victoria Grassle, MFT
• Ruth Ellen Gray
• Amy Erin Greenhaw, ATC
• Tyler Gross-Stuart
• Steven Gruenewald, EDD, ATC
• Sharen Dee Hale, LPT
• Patti A Hamernik, M.D.
• Jessica Hawley
• Shannon Lynne Hirase

• Early Intervention Provider Agency in Nipomo, CA
• Providers in Nipomo, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.