NPIMap

Organization Active NPI

BBK Psychotherapeutic Services, Inc.

  • Marriage & Family Therapist
  • Santa Ana, CA
National Provider Identifier
1679872196
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC40764 Issued in CA
Legal business name
BBK PSYCHOTHERAPEUTIC SERVICES, INC.
Practice address
501 N Golden Circle Dr
Suite 100
Santa Ana, CA 92705-3913
Phone
(714) 543-0483
Fax
(714) 543-0483
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Mr. Richard Bautzer, LMFT
Title
President
Phone
(714) 543-0483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC40764 CA Primary

Addresses

Primary practice location

501 N Golden Circle Dr
Suite 100
Santa Ana, CA 92705-3913

Mailing address

501 N Golden Circle Dr
Suite 100
Santa Ana, CA 92705-3913
Phone (714) 543-0483

National Provider Directory

National Provider Directory

Locations

501 N Golden Circle Dr
Ste 100
Santa Ana, CA 92705
Phone (714) 543-0483

Practitioners & affiliated clinicians

Practitioners 9

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": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1679872196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GOLDEN CIRCLE DR",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053913",
            "telephone_number": "714-543-0483",
            "fax_number": "714-543-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GOLDEN CIRCLE DR",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053913",
            "telephone_number": "714-543-0483",
            "fax_number": "714-543-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBK PSYCHOTHERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "BAUTZER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-543-0483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.