Eec

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

EEC

Practice address

15505 Civic Dr
Victorville, CA 92392-2357

Phone

(760) 245-4262

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Jamie Lowe

Title

Assistant Superintendent

Phone

(760) 245-4262

Specialties & licenses 1

Addresses

Other names 1

• Excelsior Charter School Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Andrew Smith, BCBA

  • Behavior Analyst
  • Victorville, CA
  • NPI 1144729328
  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1750118949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15505 CIVIC DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922357",
            "telephone_number": "760-245-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15505 CIVIC DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922357",
            "telephone_number": "760-245-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "760-245-4262"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excelsior Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharde Edgerson
• Educational & Behavioral Support Services, LLC
• Jenna Marie Edwards
• Roland Edwards
• Tiffany Edwards
• Roshanda Sharee Jackson Eichie
• Madelene Eilers-Fong
• Gloria Eitile
• Steve A. Eklund, M.D.
• Zoheir Rached El-Hajjaoui, M.D.

• Counseling Psychologist in Victorville, CA
• Providers in Victorville, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.