Organization Active NPI

Lead to Recovery, Inc.

  • Psychologist
  • Costa Mesa, CA
National Provider Identifier
1790281798
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LEAD TO RECOVERY, INC.
Practice address
3151 Airway Ave Ste D2
Costa Mesa, CA 92626-4622
Phone
(949) 282-8016
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Karina Nurmberg
Title
Ceo
Phone
(949) 282-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

3151 Airway Ave Ste D2
Costa Mesa, CA 92626-4622

Mailing address

3151 Airway Ave Ste D2
Costa Mesa, CA 92626-4622

National Provider Directory

National Provider Directory

Locations

3151 Airway Ave
Ste D2
Costa Mesa, CA 92626
Phone (714) 421-3113

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1790281798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE D2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE D2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264622",
            "telephone_number": "949-282-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD TO RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "NURMBERG",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-282-8016"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.