The Thaddeus Foundation

Primary specialty

Social WorkerTaxonomy code 104100000X

License

D0756713TF5 Issued in CA

Legal business name

THE THADDEUS FOUNDATION

Practice address

133 E Bonita Ave
Suite 200
San Dimas, CA 91773-3173

Phone

(909) 599-2111

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kimmie Umscheid

Title

President/Executive Director

Phone

(909) 599-2111

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1922491893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BONITA AVE",
            "address_2": "SUITE 200",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733173",
            "telephone_number": "909-599-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BONITA AVE",
            "address_2": "SUITE 200",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733173",
            "telephone_number": "909-599-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THADDEUS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "UMSCHEID",
        "authorized_official_first_name": "KIMMIE",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-599-2111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "D0756713TF5",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CA",
            "license": "D0756713TF5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.