Active NPI
Embrace Counseling and Resource Center, Inc
- Clinical Psychologist
- Huntington Beach, CA
National Provider Identifier
1871004192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24917
- Legal business name
- EMBRACE COUNSELING AND RESOURCE CENTER, INC
- Practice address
- 16152 Beach Blvd Ste 131
Huntington Beach, CA 92647-3820 - Phone
- (714) 504-8840
- Fax
- (714) 903-3930
- NPI assigned
- Oct 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary G. Madrigal, PHD
- Title
- Executive Director
- Phone
- (714) 504-8840
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24917 | CA | Primary |
Addresses
Primary practice location
16152 Beach Blvd Ste 131
Huntington Beach, CA 92647-3820
Mailing address
16152 Beach Blvd Suite 131
Huntington Beach, CA 92647
Phone (714) 504-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1246960 | Other | CAL OPTIMA |
National Provider Directory
National Provider DirectoryLocations
16152 Beach Blvd
Ste 131
Huntington Beach, CA 92647
Phone (213) 713-2113
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": "1507852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516060800000",
"number": "1871004192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16152 BEACH BLVD SUITE 131",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92647",
"telephone_number": "714-504-8840",
"fax_number": "714-903-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16152 BEACH BLVD STE 131",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473820",
"telephone_number": "714-504-8840",
"fax_number": "714-903-3930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRACE COUNSELING AND RESOURCE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-13",
"last_updated": "2018-01-16",
"status": "A",
"authorized_official_last_name": "MADRIGAL",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "714-504-8840",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24917",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL OPTIMA",
"identifier": "1246960",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.