Organization Active NPI

Catholic Charities Psychological Services

  • Marriage & Family Therapist
  • Pomona, CA
National Provider Identifier
1861542375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
34250 Issued in CA
Legal business name
CATHOLIC CHARITIES PSYCHOLOGICAL SERVICES
Practice address
1215 S Hamilton Blvd
Pomona, CA 91766-2850
Phone
(909) 622-2824
Fax
(909) 622-6984
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sr. Roseanita Mary Ramirez, L.M.F.T.
Title
Clinical Director
Phone
(909) 622-2824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 34250 CA Primary

Addresses

Primary practice location

1215 S Hamilton Blvd
Pomona, CA 91766-2850

Mailing address

1215 S Hamilton Blvd
Pomona, CA 91766-2850
Phone (909) 622-2824

Other names 1

  • Catholic Charities of Los Angeles, Inc. Other name

National Provider Directory

National Provider Directory

Locations

1215 S Hamilton Blvd
Pomona, CA 91766
Phone (909) 622-2824

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861542375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S HAMILTON BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662850",
            "telephone_number": "909-622-2824",
            "fax_number": "909-622-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S HAMILTON BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662850",
            "telephone_number": "909-622-2824",
            "fax_number": "909-622-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "SR. ROSEANITA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-622-2824",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities of Los Angeles, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.