Organization Active NPI

Acc United LLC

  • Psychoanalyst
  • Granite Bay, CA
National Provider Identifier
1790433704
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
Legal business name
ACC UNITED LLC
Practice address
4120 Douglas Blvd # 306-114
Granite Bay, CA 95746-5936
Phone
(917) 636-3655
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Faith Morgan, PSYCHOTHERAPISTNPI 1033588033
Title
President
Phone
(917) 636-3655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X Primary

Addresses

Primary practice location

4120 Douglas Blvd # 306-114
Granite Bay, CA 95746-5936

Mailing address

4120 Douglas Blvd # 306-114
Granite Bay, CA 95746-5936
Phone (917) 636-3655

National Provider Directory

National Provider Directory

Locations

4120 Douglas Blvd
#306114
Granite Bay, CA 95746
Phone (917) 636-3655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1790433704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DOUGLAS BLVD # 306-114",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957465936",
            "telephone_number": "917-636-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 DOUGLAS BLVD # 306-114",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957465936",
            "telephone_number": "917-636-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACC UNITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-636-3655",
        "authorized_official_credential": "PSYCHOTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.