Ethos Therapeutics

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ETHOS THERAPEUTICS

Practice address

13030 Bradley Ave
Sylmar, CA 91342-3831

Phone

(818) 421-0416

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Darrell Bunch Jr.

Title

Ceo

Phone

(818) 621-0379

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.

• Nicole Nadine Craigie, OTD, OTR/L

  • Occupational Therapist
  • Sylmar, CA
  • NPI 1457182271
  NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1558110650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923012",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913923012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 BRADLEY AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423831",
            "telephone_number": "818-421-0416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 E Avenue Q9",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935504735",
            "country_code": "US",
            "telephone_number": "818-421-0416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETHOS THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-621-0379",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Rita Esquivel, AMFT
• Stacy Delilah Esquivel
• Esteban Piotraszewski, DDS, PDC
• Wendy Estrada
• Lola Ethington
• Patricia Evans, MPA, MSW, LCSW
• Evergreen Recovery
• Ashley Chanel Fabela
• Family Dental Connection Inc.
• Basem Fanous, MD

• Community/Behavioral Health Agency in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.