Prepare to Change Child and Family Counseling

Primary specialty

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

Legal business name

PREPARE TO CHANGE CHILD AND FAMILY COUNSELING

Practice address

222 W Main St Ste 101
Tustin, CA 92780-7711

Phone

(562) 773-3044

NPI assigned

Dec 4, 2018

Organization subpart

Yes

Parent organization

PREPARE TO CHANGE, A PSYCHOLOGY CORPORATIONAs reported in NPPES

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

Authorized official

Name

Kaneeza Lafir, PHD

Title

Doctor/Director

Phone

(562) 773-3044

Specialties & licenses 1

Addresses

Other names 1

• PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION Other name

Part of

Prepare to Change a Psychology Corporation

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prepare to Change, a Psychology Corporation

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1144592346
  NPPES parent name

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1932679859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MAIN ST STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807711",
            "telephone_number": "562-773-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MAIN ST STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807711",
            "telephone_number": "562-773-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREPARE TO CHANGE CHILD AND FAMILY COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "LAFIR",
        "authorized_official_first_name": "KANEEZA",
        "authorized_official_title_or_position": "DOCTOR/DIRECTOR",
        "authorized_official_telephone_number": "562-773-3044",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Tustin, CA
• Providers in Tustin, 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 Dec 4, 2018; 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.