Associated Clinical Therapists, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS20302 Issued in CA

Legal business name

ASSOCIATED CLINICAL THERAPISTS, INC

Practice address

7828 Haven Ave # 102
Rancho Cucamonga, CA 91730-3049

Phone

(800) 994-2535

Fax

(866) 724-1504

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Michelle Estrada, MSW, LCSW, DCSW

Title

Owner,President,Psychotherapist

Phone

(800) 994-2535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1982974770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 HAVEN AVE # E327",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917016064",
            "telephone_number": "800-994-2535",
            "fax_number": "866-724-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7828 HAVEN AVE # 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303049",
            "telephone_number": "800-994-2535",
            "fax_number": "866-724-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CLINICAL THERAPISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER,PRESIDENT,PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "800-994-2535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, DCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS20302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.