Succor Psychiatry & Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUCCOR PSYCHIATRY & WELLNESS

Practice address

400 Ramona Ave Ste 212L
Corona, CA 92879-1443

Phone

(909) 648-2036

NPI assigned

Aug 29, 2022

Organization subpart

Yes

Parent organization

ELITE NURSING PROFESSIONALS INC.As reported in NPPES

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

Authorized official

Name

Lakesha Jones, MSN-ED, PMHNP-BCNPI 1649804469

Title

Nurse Practitioner

Phone

(909) 648-2036

Specialties & licenses 1

Addresses

Other names 1

• Succor Psychiatry & Wellness Doing business as

Tax ID family

Elite Nursing Professional Inc2 organizations share this tax ID, including this one

Part of

Elite Nursing Professional Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Nursing Professional Inc.

  • Nursing Care Agency
  • San Bernardino, CA
  • NPI 1912664350
  NPD tax ID

Locations

Practitioners 1

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

• Lakesha E Jones, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colton, CA
  • NPI 1649804469
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1891415048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RAMONA AVE STE 212L",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791443",
            "telephone_number": "909-648-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMONA AVE STE 212L",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791443",
            "telephone_number": "909-648-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCOR PSYCHIATRY & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE NURSING PROFESSIONALS INC.",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "909-648-2036",
        "authorized_official_credential": "MSN-ED, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Succor Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luke Alan Stuard
• Student Jibe
• Kathryn Stull Whitaker, MFT
• Delia Dolores Suarez-Bell, M.S., IMFT
• Jamie Subandhi
• David Yongsuk Suh, M.D.
• Joseph Suh, OMD
• William Myoungwon Suh, MD
• Daniel A Suhr, PA-C
• Sukhdev K Uppal MD Inc.

• Psychiatric/Mental Health Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.