Active NPI
Westcare Pacific Islands
- Mental Health Counselor
- Hagatna, GU
National Provider Identifier
1689188377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WESTCARE PACIFIC ISLANDS
- Practice address
- 222 Chalan Santo Papa
Reflection Center Suite 102
Hagatna, GU 96910 - Phone
- (671) 472-0218
- NPI assigned
- Nov 17, 2017
- Last updated
- Nov 17, 2017
- Organization subpart
- Yes
- Parent organization
- WESTCARE FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Fejaran Bordallo, LMFT
- Title
- Clinical Director
- Phone
- (671) 787-7978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
222 Chalan Santo Papa
Reflection Center Suite 102
Hagatna, GU 96910
Mailing address
P.O. Box 23873
Barrigada, GU 96921
Phone (671) 787-7978
National Provider Directory
National Provider Directory- Tax ID family
- Westcare Pacific Islands
- Part of
- Westcare Pacific Islands
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Hagatna, GU
- NPI 1790582120
-
- Community/Behavioral Health Agency
- Tamuning, GU
- NPI 1962209395
Locations
222 E Chalan Santo Papa
Ste 102
Hagatna, GU 96910
Phone (671) 472-0218
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Hagatna, GU
- NPI 1477024271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510876800000",
"number": "1689188377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 23873",
"city": "BARRIGADA",
"state": "GU",
"postal_code": "96921",
"telephone_number": "671-787-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CHALAN SANTO PAPA",
"address_2": "REFLECTION CENTER SUITE 102",
"city": "HAGATNA",
"state": "GU",
"postal_code": "96910",
"telephone_number": "671-472-0218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTCARE PACIFIC ISLANDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTCARE FOUNDATION",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A",
"authorized_official_last_name": "BORDALLO",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "FEJARAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "671-787-7978",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagatna, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.