Icons Behavioral Nursing Care Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ICONS BEHAVIORAL NURSING CARE INC

Practice address

9087 Arrow Rte Ste 265
Rancho Cucamonga, CA 91730-4487

Phone

(562) 824-5099

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Bernice Chinyere Ivoko, NP

Title

Nurse Practiioner

Phone

(951) 314-3088

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1679219679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 265",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304487",
            "telephone_number": "562-824-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 265",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304487",
            "telephone_number": "562-824-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONS BEHAVIORAL NURSING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "IVOKO",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "CHINYERE",
        "authorized_official_title_or_position": "NURSE PRACTIIONER",
        "authorized_official_telephone_number": "951-314-3088",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PAULACICSA@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "PAULACICSA@YAHOO.COM",
            "address_1": "9087 Arrow Rte Ste 265",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917304487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.