Realize Behavioral Health, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REALIZE BEHAVIORAL HEALTH, INC

Practice address

4540 Campus Dr # 129
Newport Beach, CA 92660-1815

Phone

(714) 800-3199

Fax

(949) 209-1860

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Bryan Adam Vasquez, CATC-IIINPI 1205362365

Title

President

Phone

(714) 800-3199

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Bryan Vasquez, CATC III

  • Addiction (Substance Use Disorder) Counselor
  • Newport Beach, CA
  • NPI 1205362365
  NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1639856305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CAMPUS DR # 129",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601815",
            "telephone_number": "714-800-3199",
            "fax_number": "949-209-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CAMPUS DR # 129",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601815",
            "telephone_number": "714-800-3199",
            "fax_number": "949-209-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIZE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-800-3199",
        "authorized_official_credential": "CATC-III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Rayner, PT
• Ana M. Razo
• Bethany Razo
• Tanzila Shakir Razzaki, M.D.
• RC Arts Inc (Ruben Castro MD)
• Paul Francis Reardon, M.D.
• Armando Espino Rebollar
• Hui Sophia Reccow, MA, LMFT
• Reconstructive Surgery Center of Newport Beach Inc
• Recovery Health Options, Inc.

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.