Organization Active NPI

Energy Psychology & Wellness Inc

Doing business as Energy Psychology & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1851949937
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ENERGY PSYCHOLOGY & WELLNESS INC
Doing business as
Energy Psychology & Wellness
Practice address
4565 Ruffner St Ste 101
San Diego, CA 92111-2258
Phone
(858) 717-4196
NPI assigned
Aug 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Dr. Kimthu Trinh, PH.D.
Title
Ceo
Phone
(858) 717-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4565 Ruffner St Ste 101
San Diego, CA 92111-2258

Mailing address

4565 Ruffner St Ste 101
San Diego, CA 92111-2258
Phone (858) 717-4196

Other practice location 1

251 W Main St Ste N
Brawley, CA 92227-2254
Phone (858) 717-4196

Other names 1

  • Energy Psychology & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

251 W Main St
Ste N
Brawley, CA 92227
Phone (858) 717-4196

4565 Ruffner St
Ste 101
San Diego, CA 92111
Phone (858) 717-4196

NPI Registry JSON

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

{
    "created_epoch": "1567209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1851949937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 RUFFNER ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112258",
            "telephone_number": "858-717-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 RUFFNER ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112258",
            "telephone_number": "858-717-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 W Main St Ste N",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922272254",
            "country_code": "US",
            "telephone_number": "858-717-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENERGY PSYCHOLOGY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-31",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "KIMTHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-717-4196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energy Psychology & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Energy Psychology & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.