Organization Active NPI

Psychology Consulting, Professional Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Vista, CA
National Provider Identifier
1982114088
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
A122488 Issued in CA
Legal business name
PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION
Practice address
550 W Vista Way Ste 102
Vista, CA 92083-5735
Phone
(760) 560-3947
NPI assigned
Oct 3, 2017
Organization subpart
Yes
Parent organization
PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Twee Hyler
Title
Vice President
Phone
(760) 560-3947

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X A122488 CA
Adult Mental Health Clinic/Center 261QM0850X A122488 CA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A122488 CA Primary

Addresses

Primary practice location

550 W Vista Way Ste 102
Vista, CA 92083-5735

Mailing address

310 S Twin Oaks Valley Rd # 107-229
San Marcos, CA 92078-4303

Other names 1

  • Embrasse Treatment Center Doing business as

National Provider Directory

National Provider Directory
Part of
Psychology Consulting Professional Corporation

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1982114088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S TWIN OAKS VALLEY RD # 107-229",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 102",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835735",
            "telephone_number": "760-560-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "HYLER",
        "authorized_official_first_name": "TWEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "760-560-3947"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "A122488",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A122488",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "A122488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrasse Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.