The Health Retreat, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC28533 Issued in CA

Legal business name

THE HEALTH RETREAT, INC.

Practice address

2150 E Tahquitz Canyon Way
#5
Palm Springs, CA 92262-7045

Phone

(760) 324-3131

Fax

(760) 325-1818

NPI assigned

Jul 10, 2007

Last updated

Jul 19, 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

William Bradley Severson, D.C.NPI 1780711606

Title

Ceo

Phone

(760) 324-3131

Specialties & licenses 1

Addresses

Locations

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.

• William Bradley Severson, D.C.

  • Chiropractor
  • Palm Springs, CA
  • NPI 1780711606
  NPD (past) Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1851599104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "#5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-324-3131",
            "fax_number": "760-325-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "#5",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-324-3131",
            "fax_number": "760-325-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH RETREAT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-324-3131",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC28533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Kiyoshi Terukina Jr., RN, NNP
• Richard Teska
• Triny Fueng Thai, PHARMD
• The Center for Counseling and Education
• The Happy Homo (The Happy Homo Therapy)
• The LGBT Community Center of the Desert (The Center)
• The LGBT Community Center of the Desert (The Center)
• The Lgbtq Center, LLC (The LGBTQ Center (TLC))
• The Smile Factory for the Children of the Desert
• The Smile Factory of the Tiempo de Los Ninos (The Smile Factory for the Children of the Desert)

• Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.