Teleconnect Therapies

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23139 Issued in CA

Legal business name

TELECONNECT THERAPIES

Practice address

22 Canyon Terrace
Avalon, CA 90704

Phone

(310) 850-2960

NPI assigned

Dec 15, 2008

Last updated

Apr 26, 2013By 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

Dawn Marie Sampson, LCSW

Title

Partner

Phone

(310) 850-2960

Specialties & licenses 2

Addresses

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.

• Mindy Mueller, PSYD

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1013036854
  NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1871738112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "AVALON",
            "state": "CA",
            "postal_code": "907041665",
            "telephone_number": "310-850-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CANYON TERRACE",
            "city": "AVALON",
            "state": "CA",
            "postal_code": "90704",
            "telephone_number": "310-850-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECONNECT THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-850-2960",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Marguerite Perisho, FNP
• Susan L Ponce, PHARM.D.
• Larry E Reimer
• Emily Hopkins Schuck, FNP-C
• Chia Shen, L.AC. PH.D.
• The Children's Dental Foundation
• Destiny Nichole Vega
• Sylvia M Vigil
• Aimee Joanne Warren, D.O.
• Meghan Zomorodi, D.O.

• Clinical Social Worker in Avalon, CA
• Providers in Avalon, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.