Counseling & Spiritual Care Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25323 Issued in CA

Legal business name

COUNSELING & SPIRITUAL CARE CENTER

Practice address

7342 Orangethorpe Ave Ste B121
Buena Park, CA 90621-4547

Phone

(562) 445-4735

NPI assigned

Sep 23, 2014

Organization subpart

Yes

Parent organization

HOPE37, INCAs reported in NPPES

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

Authorized official

Name

Dr. Christine Kim, PH.D.

Title

Director

Phone

(562) 445-4735

Specialties & licenses 1

Addresses

Other names 1

• Hope37, Inc Other name

Part of

Hope37 Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hope37, Inc

  • Clinical Psychologist
  • Buena Park, CA
  • NPI 1902456031
  NPPES parent name

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1679975452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 ORANGETHORPE AVE STE B121",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214547",
            "telephone_number": "562-445-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 ORANGETHORPE AVE STE B121",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214547",
            "telephone_number": "562-445-4735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14515 Valley View Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906705236",
            "country_code": "US",
            "telephone_number": "562-445-4735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING & SPIRITUAL CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE37, INC",
        "enumeration_date": "2014-09-23",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-445-4735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope37, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.