MENTAL HEALTH AMERICA OF LOS ANGELES (NPI# 1104183573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104183573 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH AMERICA OF LOS ANGELES |
| Other Organization Name | HOMELESS INNOVATIONS PROJECT |
| Practice Address |
100 W Broadway Suite 5005 Long Beach CA 90802-4431 |
| Practice Telephone | 5622851330 |
| Mailing Telephone | 5622851330 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | DR. DAVID A PILON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5622851330 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Homeless Innovations Project | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285198739 | Mental Health America of Los Angeles | Case Management | 1529 E Palmdale Blvd Ste 100&113, Palmdale, CA 93550-2028 | 2019-01-29 |
| 1245781632 | Mental Health America of Los Angeles | Case Management | 506 West Jackman St, Lancaster, CA 93534 | 2016-10-20 |
| 1235304809 | Mental Health America of Los Angeles | Community/Behavioral Health | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2836 | 2008-04-24 |
| 1942326871 | Mental Health America of Los Angeles | Community/Behavioral Health | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2007-03-22 |
| 1386760213 | Mental Health America of Los Angeles | Community/Behavioral Health | 1955 Long Beach Blvd Ste 200, Long Beach, CA 90806-5501 | 2007-03-22 |
| 1225418916 | Mental Health America of Los Angeles | Community/Behavioral Health | 4510 Pacific Coast Highway, Suite 305 and 310, Long Beach, CA 90804-3279 | 2015-06-08 |
| 1053652172 | Mental Health America of Los Angeles | Respite Care | 2241 W Williams St, Suite B, Long Beach, CA 90810-3652 | 2013-03-14 |
| 1700126828 | Mental Health America of Los Angeles | Respite Care | 2241 W Williams St, Suite A, Long Beach, CA 90810-3652 | 2013-02-26 |
| 1003138009 | Mental Health America of Los Angeles | Community/Behavioral Health | 100 W Broadway, Suite 5010, Long Beach, CA 90802-4431 | 2010-02-18 |
| 1104942044 | Mental Health America of Los Angeles | Community/Behavioral Health | 830 Atlantic Ave, Long Beach, CA 90813 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENTAL HEALTH AMERICA OF LOS ANGELES | 200 Pine Ave Ste 400, Long Beach, CA 90802-3039 |
| Street Address |
100 W BROADWAY SUITE 5005 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183307 | Elyse Cascio | Acupuncturist | 100 W Broadway, Apt 2bb, Long Beach, NY 11561 | 2020-04-22 |
| 1982180352 | Darren Lajohn Hendon | Case Manager/Care Coordinator | 100 W Broadway, Long Beach, CA 90802-4431 | 2018-07-18 |
| 1699210575 | Lindsay Winters | Case Manager/Care Coordinator | 100 W Broadway, Suite 5010, Long Beach, CA 90802-4431 | 2016-12-30 |
| 1871037473 | Wendy James | Case Manager/Care Coordinator | 100 W Broadway, Suite 5010, Long Beach, CA 90802-4431 | 2016-12-15 |
| 1598209561 | Jenna Lynne Burke | Registered Nurse | 100 W Broadway, Apt 6p, Long Beach, NY 11561-4049 | 2016-12-11 |
| 1497100994 | Nancy Lolenese Tagaloa | Student in an Organized Health Care Education/Training Program | 100 W Broadway, Long Beach, CA 90802-4431 | 2016-05-03 |
| 1346603339 | Anthony Donald Luna | Rehabilitation Practitioner | 100 W Broadway, Suite 5110, Long Beach, CA 90802-4431 | 2016-03-29 |
| 1114389863 | Natali Garcia Robles | Case Manager/Care Coordinator | 100 W Broadway, Long Beach, CA 90802 | 2016-03-22 |
| 1144685884 | John Ivan Quimson | Rehabilitation Practitioner | 100 W Broadway, Suite 5010, Long Beach, CA 90802-4431 | 2015-12-23 |
| 1184098105 | Beth Roitz | Case Manager/Care Coordinator | 100 W Broadway, Suite 5010, Long Beach, CA 90802-4431 | 2015-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1174121529 | The Guidance Center | Community/Behavioral Health | 1450 Cedar Ave, Long Beach, CA 90813-1705 | 2020-10-16 |
| 1497353841 | The Guidance Center | Community/Behavioral Health | 750 Euclid Ave, Long Beach, CA 90804-5228 | 2020-10-16 |
| 1205434651 | The Guidance Center | Community/Behavioral Health | 1022 E Market St, Long Beach, CA 90805-6034 | 2020-10-16 |
| 1457959801 | The Guidance Center | Community/Behavioral Health | 1600 Atlantic Ave, Long Beach, CA 90813-2017 | 2020-10-16 |
| 1093313447 | The Guidance Center | Community/Behavioral Health | 1830 W Columbia St, Long Beach, CA 90810-2913 | 2020-10-16 |
| 1720686173 | The Guidance Center | Community/Behavioral Health | 1545 Long Beach Blvd, Long Beach, CA 90813-1923 | 2020-10-16 |
| 1235737883 | The Guidance Center | Community/Behavioral Health | 1175 E 11th St, Long Beach, CA 90813-3659 | 2020-10-15 |
| 1790383255 | The Guidance Center | Community/Behavioral Health | 3038 Delta Ave, Long Beach, CA 90810-2843 | 2020-10-15 |
| 1689272239 | The Guidance Center | Community/Behavioral Health | 1055 Freeman Ave, Long Beach, CA 90804-3804 | 2020-10-15 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on MENTAL HEALTH AMERICA OF LOS ANGELES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.