MENTAL HEALTH AMERICA OF LOS ANGELES (NPI# 1235304809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235304809 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH AMERICA OF LOS ANGELES |
| Practice Address |
11905 S Central Ave Ste 303 Los Angeles CA 90059-2836 |
| Mailing Address |
100 W Broadway Ste 5010 Long Beach CA 90802-9409 |
| Practice Telephone | 3233120145 |
| Mailing Telephone | 5622851330 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | RICHARD VAN HORN (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 5622851330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 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 |
| 1104183573 | Mental Health America of Los Angeles | Community/Behavioral Health | 100 W Broadway, Suite 5005, Long Beach, CA 90802-4431 | 2012-04-23 |
| 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 |
11905 S CENTRAL AVE STE 303 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704806 | Exodus Recovery, Inc. | Community/Behavioral Health | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2897 | 2019-08-02 |
| 1609378876 | Wendy M Croomes | Counselor | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2897 | 2018-03-05 |
| 1528478112 | John Trieu | Nurse Practitioner | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2897 | 2014-05-05 |
| 1790113801 | Liza Beth Anulao | Counselor | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2897 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| 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 |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1730795188 | Connect Therapies | Community/Behavioral Health | 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 | 2020-09-21 |
| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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| 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.