NPIMap

Organization Active NPI

Pacific Forenisc Psychology

Doing business as Sharper Future

  • Mental Health Counselor
  • Colton, CA
National Provider Identifier
1740472422
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PACIFIC FORENISC PSYCHOLOGY
Doing business as
Sharper Future
Practice address
1025 S Mount Vernon Ave Ste a
Colton, CA 92324-4226
Phone
(909) 783-1473
Fax
(909) 783-6717
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Brian Stewart Cunningham, LCSW
Title
Director
Phone
(909) 783-1473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CA Primary

Addresses

Primary practice location

1025 S Mount Vernon Ave Ste a
Colton, CA 92324-4226

Mailing address

1025 S Mount Vernon Ave Ste a
Colton, CA 92324-4226
Phone (909) 783-1473

Other names 1

  • Sharper Future Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Forensic Psychology Associates Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 S Mount Vernon Ave
Ste A
Colton, CA 92324
Phone (909) 783-1473

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": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1740472422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S MOUNT VERNON AVE STE A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244226",
            "telephone_number": "909-783-1473",
            "fax_number": "909-783-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MOUNT VERNON AVE STE A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244226",
            "telephone_number": "909-783-1473",
            "fax_number": "909-783-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FORENISC PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-783-1473",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharper Future",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.