NPIMap

Organization Active NPI

Wisemind Inc

  • Marriage & Family Therapist
  • Monrovia, CA
National Provider Identifier
1689309437
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WISEMIND INC
Doing business as
Wisemind Inc.
Practice address
705 Valley View Ave
Monrovia, CA 91016-2446
Phone
(626) 344-8036
Fax
(626) 316-6761
NPI assigned
Jul 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Authorized official

Name
Destiny S Rattanapichetkul, LMFTNPI 1609323401
Title
Ceo, Cfo
Phone
(626) 552-5994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

705 Valley View Ave
Monrovia, CA 91016-2446

Mailing address

705 Valley View Ave
Monrovia, CA 91016-2446
Phone (626) 344-8036

Other names 1

  • Wisemind Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1658016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658016000000",
    "number": "1689309437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 VALLEY VIEW AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162446",
            "telephone_number": "626-344-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 VALLEY VIEW AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162446",
            "telephone_number": "626-344-8036",
            "fax_number": "626-316-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEMIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A",
        "authorized_official_last_name": "RATTANAPICHETKUL",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "626-552-5994",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisemind Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.