Clear Vision Assessment and Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLEAR VISION ASSESSMENT AND CONSULTING LLC

Doing business as

Clear Vision Assessment and Consulting LLC

Practice address

550 E Carson Plaza Dr Ste 114
Carson, CA 90746-7349

Phone

(323) 540-2929

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By 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

Maechelle J Brown, LCSWNPI 1962818922

Title

Manager

Phone

(323) 540-2929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clear Vision Assessment and Consulting LLC Doing business as

Electronic endpoints 1

Locations

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.

• Maechelle Brown, LCSW

  • Clinical Social Worker
  • Carson, CA
  • NPI 1962818922
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1912653403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 RAMONA ST UNIT 2",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066480",
            "telephone_number": "323-540-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR STE 114",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907467349",
            "telephone_number": "323-540-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION ASSESSMENT AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MAECHELLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-540-2929",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "92691",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjbrown@cvac2020.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "550 E Carson Plaza Dr Ste 114",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907467349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clear Vision Assessment and Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Carson, CA
• Providers in Carson, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.