Children'S Hope Group Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

366425817 Issued in CA

Legal business name

CHILDREN'S HOPE GROUP HOME

Practice address

1106 W 22ND St
Upland, CA 91784-1231

Phone

(909) 561-7784

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Mike Sudyka, LMFT

Title

Ceo

Phone

(909) 561-7784

Specialties & licenses 1

Addresses

Practitioners 2

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

• Michael Sudyka, LMFT

  • Marriage & Family Therapist
  • Upland, CA
  • NPI 1598291114
  NPD (past)
• Rylee Nicole Tapp

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1184258097
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1679009203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1938",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851938",
            "telephone_number": "909-561-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W 22ND ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841231",
            "telephone_number": "909-561-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOPE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "SUDYKA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-561-7784",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "366425817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Cheung
• Lisa CHI
• Eric C. Chiang, D.D.S.
• Chih-Lan Acupuncture Center
• Children'S Eye Institute, Inc.
• Andrea Sheryl Janelle Ching, M.D.
• Bradley Ching, DDS
• Gregory Ching, M.D.
• Victor Choy Ching, MD
• Jae Hyun Cho, L.AC.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Upland, CA
• Providers in Upland, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.