NPIMap

Organization Active NPI

Professional Assessment and Treatment Services

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1861716854
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS 24862 Issued in CA
Legal business name
PROFESSIONAL ASSESSMENT AND TREATMENT SERVICES
Practice address
12204 N Mainstreet
#1
Rancho Cucamonga, CA 91739-8691
Phone
(626) 665-7354
Fax
(909) 803-0384
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Dr. Aurelio J Enriquez Jr., LCSW, PSYDNPI 1891810438
Title
Owner
Phone
(626) 665-7354

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCS 24862 CA Primary

Addresses

Primary practice location

12204 N Mainstreet
#1
Rancho Cucamonga, CA 91739-8691

Mailing address

12204 N Mainstreet
#1
Rancho Cucamonga, CA 91739-8691
Phone (626) 665-7354

National Provider Directory

National Provider Directory

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": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1861716854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 N MAINSTREET",
            "address_2": "#1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398691",
            "telephone_number": "626-665-7354",
            "fax_number": "909-803-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12204 N MAINSTREET",
            "address_2": "#1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398691",
            "telephone_number": "626-665-7354",
            "fax_number": "909-803-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ASSESSMENT AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "AURELIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-665-7354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW, PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS 24862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.