Active NPI
A Light Nursing Services Inc
Doing business as Mind Clarity
- Psychiatric/Mental Health Nurse Practitioner
- Paramount, CA
National Provider Identifier
1821875964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- A LIGHT NURSING SERVICES INC
- Doing business as
- Mind Clarity
- Practice address
- 14023 Paramount Blvd
Paramount, CA 90723-2605 - Phone
- (562) 331-8881
- NPI assigned
- Sep 12, 2023
- Last updated
- May 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trish Williams Forde, NURSE PRACTITIONER
- Title
- Ceo
- Phone
- (310) 743-6544
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
14023 Paramount Blvd
Paramount, CA 90723-2605
Mailing address
14023 Paramount Blvd
Paramount, CA 90723-2605
Phone (562) 331-8881
Other names 1
- MIND CLARITY
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1710468590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1821875964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14023 PARAMOUNT BLVD",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907232605",
"telephone_number": "562-331-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14023 PARAMOUNT BLVD",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907232605",
"telephone_number": "562-331-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A LIGHT NURSING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS FORDE",
"authorized_official_first_name": "TRISH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-743-6544",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MIND CLARITY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MIND CLARITY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.