SRD Straightening Reins Foundation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SRD STRAIGHTENING REINS FOUNDATION

Practice address

13668 Davenport Rd
Santa Clarita, CA 91390-4735

Phone

(661) 803-1641

Fax

(661) 244-4960

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Deborah S Rocha

Title

Executive Director

Phone

(661) 803-1641

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Michelle Lucarelli-Beltran

  • Clinical Social Worker
  • Castaic, CA
  • NPI 1861016313
  NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1750943080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27943 SECO CANYON RD # 318",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503872",
            "telephone_number": "661-803-1641",
            "fax_number": "661-244-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 DAVENPORT RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904735",
            "telephone_number": "661-803-1641",
            "fax_number": "661-244-4960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900641524",
            "country_code": "US",
            "telephone_number": "424-535-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SRD STRAIGHTENING REINS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-803-1641"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://secure.simplepractice.com/clients",
            "affiliation": "N",
            "endpointDescription": "client software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure host",
            "address_1": "13668 Davenport Rd",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913904735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southern California Industrial Clinic
• Southern California Permanente Medical Group
• Sovereighdarity Laboration Inc.
• Alejandra Sparrow
• Specialty Rehabilitation Center
• Rujireg Srisiltananon
• St Margaret Healthcare Inc
• St Margaret Palliative and Hospice Care Inc
• Michelle Staggs
• Melissa Stair

• Mental Health Counselor in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.