Provider Demographics
NPI:1891532180
Name:JOANITIS PSYCHOLOGICAL SERVICES, INC.
Entity type:Organization
Organization Name:JOANITIS PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:F
Authorized Official - Last Name:JOANITIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-304-5870
Mailing Address - Street 1:25420 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3123
Mailing Address - Country:US
Mailing Address - Phone:562-304-5870
Mailing Address - Fax:562-786-6714
Practice Address - Street 1:25420 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3123
Practice Address - Country:US
Practice Address - Phone:562-304-5870
Practice Address - Fax:562-786-6714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty