Organization Active NPI

Cody Educational Enterprises, Inc.

  • Psychologist
  • Temecula, CA
National Provider Identifier
1922442078
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3427 Issued in CA
Legal business name
CODY EDUCATIONAL ENTERPRISES, INC.
Practice address
41769 Enterprise Circle North
Suite 101
Temecula, CA 92592
Phone
(951) 488-0404
Fax
(951) 488-0411
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Mrs. Leslie Lynn Hutch, SPECIAL EDUATION MA
Title
Owner
Phone
(951) 488-0404

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 3427 CA Primary
Speech-Language AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2355S0801X SPA426 CA
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SP1650 CA

Addresses

Primary practice location

41769 Enterprise Circle North
Suite 101
Temecula, CA 92592

Mailing address

41769 Enterprise Circle North
Suite 101
Temecula, CA 92592
Phone (951) 488-0404

Other names 1

  • Big Springs Eduational Therapy Center & School Doing business as

National Provider Directory

National Provider Directory

Locations

41769 Enterprise Cir N
Ste 101
Temecula, CA 92590
Phone (951) 303-8255

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1922442078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIRCLE NORTH",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-488-0404",
            "fax_number": "951-488-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIRCLE NORTH",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-488-0404",
            "fax_number": "951-488-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODY EDUCATIONAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HUTCH",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-488-0404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPECIAL EDUATION MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "3427",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA426",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP1650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Springs Eduational Therapy Center & School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.