Re Spectrum Community

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

MFC 49051 Issued in CA

Legal business name

RE SPECTRUM COMMUNITY

Practice address

10769 Woodside Ave
Santee, CA 92071-3174

Phone

(619) 301-4041

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Courtney Olinger, PSYD

Title

President

Phone

(619) 301-4041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1891098307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 THOMAS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094161",
            "telephone_number": "619-301-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 WOODSIDE AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713174",
            "telephone_number": "619-301-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE SPECTRUM COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "OLINGER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-301-4041",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "MFC 49051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Quintero
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• Brenda Guadalupe Rangel Hernandez, RN
• Renato Rapayrapay
• Cassandra Ann Rathburn, LVN
• Lisa Jayne Read, LCSW
• Recovery & Beyond Corp
• Lyndsey Nicole Rector
• Ananthram Pottipati Reddy, M.D.
• Joseph Battula Reddy, M.D.

• Voluntary or Charitable Agency in Santee, CA
• Providers in Santee, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.