NPIMap

Organization Active NPI

Buena Vibra Psychological Services, Inc.

  • Psychologist
  • Cerritos, CA
National Provider Identifier
1639891682
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BUENA VIBRA PSYCHOLOGICAL SERVICES, INC.
Practice address
18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684
Phone
(310) 864-0516
Fax
(323) 364-5676
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Mildred Ortiz, PSY.D.NPI 1215081799
Title
Owner/Ceo
Phone
(310) 864-0516

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
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684

Mailing address

18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684
Phone (310) 864-0516

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com Direct
CONNECT URL Simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

18000 Studebaker Rd
Ste 700
Cerritos, CA 90703
Phone (562) 400-6047

Practitioners & affiliated clinicians

Practitioners 2

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": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1639891682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "310-864-0516",
            "fax_number": "323-364-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "310-864-0516",
            "fax_number": "323-364-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIBRA PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-864-0516",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant messaging system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office document, scheduling, PHI",
            "address_1": "18000 Studebaker Rd Ste 700",
            "city": "Cerritos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907032684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR system HIPAA compliant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted messaging, EHR documentation",
            "address_1": "18000 Studebaker Rd Ste 700",
            "city": "Cerritos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907032684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.