Psychotherapy Plus

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

21951 Issued in CA

Legal business name

PSYCHOTHERAPY PLUS

Practice address

408 W 17TH St
San Bernardino, CA 92405-4414

Phone

(909) 475-1777

Fax

(888) 821-3165

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Annette WeathingtonNPI 1801813381

Title

Clinical Directo

Phone

(909) 475-1777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Annette Weathington, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1801813381
  NPD (past) Authorized official
• Edward Lee Williams, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
  • NPI 1518122183
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1831475342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26027",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924060727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 17TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054414",
            "telephone_number": "909-475-1777",
            "fax_number": "888-821-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "WEATHINGTON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTO",
        "authorized_official_telephone_number": "909-475-1777"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "21951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solet Prudhomme
• Tracy Pruett
• Dennis Ray Pryor, PHARMD.
• Psychiatric & Counseling Medical Clinics, Inc.
• Psychiatric & Counseling Medical Clinics, Inc.
• Psychotherapy Solutions
• Robbin Puccio
• Carmen Marie Puebla
• Roxana Puentes
• Abigail Puga

• Community/Behavioral Health Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Oct 28, 2011; 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.