Family Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS5735 Issued in CA

Legal business name

FAMILY SERVICE

Practice address

5500 E Atherton St
Suite #416
Long Beach, CA 90815-4016

Phone

(562) 493-1496

Fax

(562) 493-2092

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By 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. Michael Henry Bullock, L.C.S.W.

Title

Psychotherapist

Phone

(562) 493-1496

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1811183858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST",
            "address_2": "SUITE #416",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154016",
            "telephone_number": "562-493-1496",
            "fax_number": "562-493-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST",
            "address_2": "SUITE #416",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154016",
            "telephone_number": "562-493-1496",
            "fax_number": "562-493-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "562-493-1496",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Seniors Medical Group, Inc
• Family Wheelchair Service
• Victor S. C. Fan, DMD
• Sarah Fang, D.O.
• Hamid Khorasani Far, MD
• Kameel F Farag, MD

• Community/Behavioral Health Agency in Long Beach, CA
• Providers in Long Beach, 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 Sep 24, 2007; 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.