Active NPI
Cody Educational Enterprises, Inc.
- Psychologist
- Temecula, CA
National Provider Identifier
1922442078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3427
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3427 | CA | Primary |
| Speech-Language Assistant | 2355S0801X | SPA426 | CA | |
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryLocations
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.