Organization Active NPI

College Community Services

  • Student in an Organized Health Care Education/Training Program
  • Bakersfield, CA
National Provider Identifier
1962077644
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
COLLEGE COMMUNITY SERVICES
Practice address
2821 H St
Bakersfield, CA 93301-1913
Phone
(661) 546-6365
NPI assigned
May 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Amy Diane Sanchez
Title
MFT Trainee
Phone
(661) 546-6367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

2821 H St
Bakersfield, CA 93301-1913

Mailing address

4821 Katella Ave
Suite 201
Los Alamitos, CA 90720
Phone (661) 546-6365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1962077644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 KATELLA AVE",
            "address_2": "SUITE 201",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "661-546-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011913",
            "telephone_number": "661-546-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MFT TRAINEE",
        "authorized_official_telephone_number": "661-546-6367"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.