College Comunnity Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COLLEGE COMUNNITY SERVICES

Practice address

1855 W Katella Ave
#150
Orange, CA 92867-3451

Phone

(714) 399-3480

Fax

(714) 399-3481

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fidencio Robles

Title

Like Coach

Phone

(714) 399-3480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1770977639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE",
            "address_2": "#150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673451",
            "telephone_number": "714-399-3480",
            "fax_number": "714-399-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE",
            "address_2": "#150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673451",
            "telephone_number": "714-399-3480",
            "fax_number": "714-399-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE COMUNNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "FIDENCIO",
        "authorized_official_title_or_position": "LIKE COACH",
        "authorized_official_telephone_number": "714-399-3480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Coleman, M.D.
• Fatima Marie Coley, PSY.D
• Mario Alberto Colin
• College Community Services (AMHS Clarvida OASIS FSP)
• College Community Services (Clarvida)
• Danielle Collett, RN
• Adrienne Nicole Collier
• Brianna Kay Collier
• Brooke Marie Collier
• Nathaniel Collins, M.D.

• Community/Behavioral Health Agency in Orange, CA
• Providers in Orange, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.