Organization Active NPI

Psalm 23 Retreat LLC

  • Massage Therapist
  • Porter Ranch, CA
National Provider Identifier
1962399238
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PSALM 23 RETREAT LLC
Practice address
19765 Rinaldi St Ste a
Porter Ranch, CA 91326-4245
Phone
(818) 521-1790
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Ashley Bustos
Title
Ceo
Phone
(818) 521-1790

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

19765 Rinaldi St Ste a
Porter Ranch, CA 91326-4245

Mailing address

19765 Rinaldi St Ste a
Porter Ranch, CA 91326-4245
Phone (818) 521-1790

Other names 1

  • Heights Wellness Retreat Doing business as

National Provider Directory

National Provider Directory

Locations

19765 Rinaldi St
Ste A
Porter Ranch, CA 91326
Phone (818) 521-1790

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1962399238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19765 RINALDI ST STE A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264245",
            "telephone_number": "818-521-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19765 RINALDI ST STE A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264245",
            "telephone_number": "818-521-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSALM 23 RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-521-1790"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Wellness Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.