Tonya Octave, LCSW, Prof Corp

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

TONYA OCTAVE, LCSW, PROF CORP

Practice address

237 S Lakeview Ave Ste a
Placentia, CA 92870-6756

Phone

(714) 705-0418

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Tonya OctaveNPI 1518191253

Title

LCSW/ Provider

Phone

(310) 387-8164

Specialties & licenses 1

Addresses

Other names 1

• Multicultural Services Prof. Corp. Doing business as

Locations

Practitioners 1

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

• Tonya D. Octave, LCSW

  • Clinical Social Worker
  • Anaheim, CA
  • NPI 1518191253
  NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1821607771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 S LAKEVIEW AVE STE A",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706756",
            "telephone_number": "714-705-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 S LAKEVIEW AVE STE A",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706756",
            "telephone_number": "714-705-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYA OCTAVE, LCSW, PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "OCTAVE",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "LCSW/ PROVIDER",
        "authorized_official_telephone_number": "310-387-8164"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multicultural Services Prof. Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Placentia, CA
• Providers in Placentia, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.