NPIMap

Organization Active NPI

Praise Behavior Service Inc.

  • Community/Behavioral Health Agency
  • Pismo Beach, CA
National Provider Identifier
1932575909
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-09-5707 Issued in CA
Legal business name
PRAISE BEHAVIOR SERVICE INC.
Practice address
370 Hollister Ave
Pismo Beach, CA 93449-2512
Phone
(269) 352-3660
NPI assigned
Aug 13, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Ms. Rebecca Marion O'Gorman-Trimbath, MA BCBANPI 1558629832
Title
Executive Director
Phone
(269) 352-3660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-09-5707 CA Primary

Addresses

Primary practice location

370 Hollister Ave
Pismo Beach, CA 93449-2512

Mailing address

370 Hollister Ave
Pismo Beach, CA 93449-2512
Phone (269) 352-3660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1932575909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HOLLISTER AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492512",
            "telephone_number": "269-352-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HOLLISTER AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492512",
            "telephone_number": "269-352-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE BEHAVIOR SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "O'GORMAN-TRIMBATH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-352-3660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-09-5707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

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