Poly Therapist Psychology Corporation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

POLY THERAPIST PSYCHOLOGY CORPORATION

Practice address

15119 Horizon St Unit 9
Fontana, CA 92336-5273

Phone

(512) 775-4743

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Manijeh Badiee, PHDNPI 1194116988

Title

Director

Phone

(512) 775-4743

Specialties & licenses 1

Addresses

Practitioners 1

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

• Manijeh Badiee, PH.D.

  • Counseling Psychologist
  • Riverside, CA
  • NPI 1194116988
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1982390589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 ABIGAIL PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365752",
            "telephone_number": "512-775-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15119 HORIZON ST UNIT 9",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365273",
            "telephone_number": "512-775-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLY THERAPIST PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "BADIEE",
        "authorized_official_first_name": "MANIJEH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-775-4743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood/Orange and San Bernardino Counties, Inc.
• Jessica Poirier, DO
• Nicole Poladian, DO
• Erica Pollard
• Kevin Polvo Campos
• Omar Weiss Popal
• Nita Popat, OTR
• Andre Pope
• Brooke Danielle Popineau
• Carrie Poptelecan

• Adult Mental Health Clinic/Center in Fontana, CA
• Providers in Fontana, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.