Annan Counseling Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ANNAN COUNSELING CLINIC

Practice address

4543 Cochran St Apt 237
Simi Valley, CA 93063-0306

Phone

(818) 268-0375

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bennett Annan, PSYD, EDD

Title

President/Ceo

Phone

(818) 268-0375

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1639831894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 COCHRAN ST APT 237",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630306",
            "telephone_number": "818-268-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 COCHRAN ST APT 237",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930630306",
            "telephone_number": "818-268-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAN COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "ANNAN",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-268-0375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, EDD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003047911",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.annans.com",
            "affiliation": "N",
            "endpointDescription": "website address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4543 Cochran St Apt 237",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930630306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Cristina Ang-Rodriguez
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• Ann Knight
• Anna Gold Co., Inc. (Millennium Care)
• Ingrid Woelfl Antall, MD
• Anthony Thong Phan MD Inc
• Heidi Ann Anticevich, PTA
• Jane Antonelli, PT
• Apnadent LLC

• Clinic/Center in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.