Organization Active NPI

Heights Wellness, Inc

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1639656036
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HEIGHTS WELLNESS, INC
Practice address
440 Redondo Ave Ste 104
Long Beach, CA 90814-5144
Phone
(310) 800-1442
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Roddy SuosNPI 1174868434
Title
President
Phone
(424) 228-6152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

440 Redondo Ave Ste 104
Long Beach, CA 90814-5144

Mailing address

440 Redondo Ave Ste 104
Long Beach, CA 90814-5144

National Provider Directory

National Provider Directory

Locations

440 Redondo Ave
Ste 104
Long Beach, CA 90814
Phone (310) 800-1442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1639656036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 REDONDO AVE STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 REDONDO AVE STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908145144",
            "telephone_number": "310-800-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SUOS",
        "authorized_official_first_name": "RODDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-228-6152"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.