THERAPEUTIC REBEL P.C. NPI 1457020620

NPI Information

  • NPI: 1457020620
  • Provider Name: THERAPEUTIC REBEL P.C.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 39520 MURRIETA HOT SPRINGS RD STE 219-2002
    MURRIETA, CA
    ZIP 92563
  • Phone: (760) 573-8164

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NPI Details

THERAPEUTIC REBEL P.C. is a mental health (including community mental health center) clinic center in Murrieta, CA. THERAPEUTIC REBEL P.C. NPI is 1457020620. The provider is registered as an organization entity type.

The provider's business location address is:

39520 MURRIETA HOT SPRINGS RD STE 219-2002
MURRIETA, CA
ZIP 92563-713
Phone: (760) 573-8164

The provider's authorized official is Shauntis Bussey .
The authorized official title is Owner / Ceo and has the following contact phone number (858) 829-5959.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 2/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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