Basic Information
Provider Information
NPI: 1659535052
EntityType: 2
ReplacementNPI:  
OrganizationName: TOTAL EDUCATION SOLUTIONS INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: TES THERAPY
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 625 FAIR OAKS AVE
Address2: 300
City: SOUTH PASADENA
State: CA
PostalCode: 910305805
CountryCode: US
TelephoneNumber: 3233415588
FaxNumber: 2136074352
Practice Location
Address1: 1015 WILSHIRE BLVD STE 200
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900172415
CountryCode: US
TelephoneNumber: 2136074400
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/15/2008
LastUpdateDate: 01/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DONAHUE
AuthorizedOfficialFirstName: MEAGHAN
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: PRESIDENT/CEO
AuthorizedOfficialTelephone: 3233415580
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: ED.D
NPICertificationDate: 01/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  N193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselor 
103K00000X  N193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersBehavioral Analyst 
106H00000X  N193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersMarriage & Family Therapist 
106S00000X  N193200000X MULTI-SPECIALTY GROUP   
224Z00000X  N193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 
225100000X  N193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
2251P0200X  N193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
225200000X  N193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant 
225X00000X  N193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225XP0200X  N193200000X MULTI-SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
2355S0801X  N193200000X MULTI-SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
235Z00000X  N193200000X MULTI-SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
252Y00000X  N AgenciesEarly Intervention Provider Agency 
302F00000X43402320CAN Managed Care OrganizationsExclusive Provider Organization 
261QM2500X  Y Ambulatory Health Care FacilitiesClinic/CenterMedical Specialty

No ID Information.


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