Active NPI
Growth Mindset
- Clinical Social Worker
- Moreno Valley, CA
National Provider Identifier
1902499619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GROWTH MINDSET
- Doing business as
- Growth Mindset
- Practice address
- 23470 Olive Wood Plaza Dr Ste 110
Moreno Valley, CA 92553-5220 - Phone
- (909) 561-5602
- Fax
- (951) 602-7978
- NPI assigned
- Feb 12, 2021
- 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
- Mr. Gamaliel Beltran Cazarez, LCSW
- Title
- Ceo
- Phone
- (909) 561-5602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
23470 Olive Wood Plaza Dr Ste 110
Moreno Valley, CA 92553-5220
Mailing address
34277 Torrey Pines CT
Lake Elsinore, CA 92532-2587
Phone (909) 561-5602
Other names 1
- Growth Mindset
National Provider Directory
National Provider DirectoryLocations
23470 Olive Wood Plaza Dr
Ste 110
Moreno Valley, CA 92553
Phone (909) 561-5602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1336456375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613088000000",
"number": "1902499619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34277 TORREY PINES CT",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925322587",
"telephone_number": "909-561-5602",
"fax_number": "951-602-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23470 OLIVE WOOD PLAZA DR STE 110",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925535220",
"telephone_number": "909-561-5602",
"fax_number": "951-602-7978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWTH MINDSET",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "BELTRAN CAZAREZ",
"authorized_official_first_name": "GAMALIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-561-5602",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Growth Mindset",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.