Organization Active NPI

Growth Mindset

  • Clinical Social Worker
  • Moreno Valley, CA
National Provider Identifier
1902499619
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Feb 12, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.