MONTAGE RECOVERY SOLUTIONS (NPI# 1194271270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194271270 |
| Entity Type | Organization |
| Organization Name | MONTAGE RECOVERY SOLUTIONS |
| Other Organization Name | RENEWAL BEHAVIORAL HEALTH OUTPATIENT II |
| Practice Address |
15350 Sutton Street Sherman Oaks CA 91402-3824 |
| Mailing Address |
203 S Orange Dr Los Angeles CA 90036-3010 |
| Practice Telephone | 8182993602 |
| Mailing Telephone | 8182993602 |
| Mailing Fax Number | 8186986442 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | MISS JOANN ZUNIGA (DIRECTOR) |
| Authorized Official Telephone | 8056160719 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTAGE RECOVERY SOLUTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CA | Residential Treatment Facilities | |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CA | Residential Treatment Facilities | |
| N | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities | |
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
CA | Residential Treatment Facilities | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Renewal Behavioral Health Outpatient II | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Vista Ct, Laguna Niguel, CA 926777973 | 8888460621 | 8888460621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
| Street Address |
15350 SUTTON STREET |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91402-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972146744 | Max Maisel Phd, A Psychological Corporation | Clinic/Center | 14011 Ventura Blvd Ste 203a, Sherman Oaks, CA 91423-5273 | 2019-10-23 |
| 1447628094 | The Villa Outpatient Sevices, LLC | Clinic/Center | 4463 Van Nuys Blvd, Sherman Oaks, CA 91403-2911 | 2015-09-11 |
| 1184286395 | Nature of Self-care | Clinic/Center | 14156 Magnolia Blvd Ste 200, Sherman Oaks, CA 91423-1182 | 2019-07-08 |
| 1124590104 | Trauma Therapy Treatment,a Professional Clinical Counselor Corporation | Clinic/Center | 13501 Chandler Blvd, Sherman Oaks, CA 91401-5232 | 2019-01-01 |
| 1114457207 | Veronika Glusker, Psy.d., Inc., A Psychological Corporation | Clinic/Center | 15615 Castlewoods Dr, Sherman Oaks, CA 91403-4806 | 2017-06-13 |
| 1285182378 | Aim for Breakthrough | Clinic/Center | 15335 Morrison St, Suite 315, Sherman Oaks, CA 91403-1513 | 2016-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91402 |
Please comment or provide details below to improve the information on MONTAGE RECOVERY SOLUTIONS.
| 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.