Provider Demographics
NPI:1073139507
Name:JOY IN HEALING PSYCHOTHERAPY AND ASSESSMENT, INC.
Entity Type:Organization
Organization Name:JOY IN HEALING PSYCHOTHERAPY AND ASSESSMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LIZET
Authorized Official - Last Name:OBREGON MADERA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-529-6741
Mailing Address - Street 1:219 N INDIAN HILL BLVD STE 202A
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4644
Mailing Address - Country:US
Mailing Address - Phone:626-386-3036
Mailing Address - Fax:
Practice Address - Street 1:219 N INDIAN HILL BLVD STE 202A
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4644
Practice Address - Country:US
Practice Address - Phone:626-386-3036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty