CLARE MATRIX (NPI# 1306387006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306387006 |
| Entity Type | Organization |
| Organization Name | CLARE MATRIX |
| Other Organization Name | PREGNANT AND POST PARTUM WOMEN AND CHILDREN |
| Practice Address |
1023 Pico Blvd Santa Monica CA 90405-1415 |
| Mailing Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
| Practice Telephone | 3103146200 |
| Practice Fax Number | 3104502024 |
| Mailing Telephone | 3103146200 |
| Mailing Fax Number | 3104502024 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | DR. LISA D. STEELE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3103146200 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 0609159 | 01 |
| Other Name | Type Code |
|---|---|
| Pregnant and Post Partum Women and Children | Other Name - Individual/Organization |
| Women's Recovery Home/Sober Living | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916403 | Clare Matrix | Clinic/Center | 5220 W Washington Blvd Ste 200, Los Angeles, CA 90016-1331 | 2019-01-23 |
| 1811486988 | Clare Matrix | Substance Abuse Rehabilitation Facility | 131 N Bundy Dr, Los Angeles, CA 90049-2823 | 2018-05-04 |
| 1760987044 | Clare Matrix | Substance Abuse Rehabilitation Facility | 3741 S Barrington Ave, Los Angeles, CA 90066-3218 | 2018-03-28 |
| 1528563285 | Clare Matrix | Substance Abuse Rehabilitation Facility | 515 N Kenter Ave, Los Angeles, CA 90049-1934 | 2018-03-26 |
| 1508378860 | Clare Matrix | Substance Abuse Rehabilitation Facility | 2207 & 2207 1/2 23rd Street, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1346752730 | Clare Matrix | Substance Abuse Rehabilitation Facility | 4336 Alla Rd, Los Angeles, CA 90066-6101 | 2017-10-25 |
| 1063878510 | Clare Matrix | Community/Behavioral Health | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2016-01-13 |
| 1992129282 | Clare Matrix | Substance Abuse Rehabilitation Facility | 812 N Euclid Ave, Ontario, CA 91762-2714 | 2014-02-07 |
| 1962839746 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1869-1871 9th St, Santa Monica, CA 90404-4501 | 2013-10-10 |
| 1265707152 | Clare Matrix | Clinic/Center | 20301 Ventura Blvd Ste 121, Woodland Hills, CA 91364-2447 | 2012-03-12 |
| Street Address |
1023 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634167 | Jacklyn Pricella Saucedo | Case Manager/Care Coordinator | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2020-09-16 |
| 1912559089 | Anthonia Amobi | Counselor | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2019-07-09 |
| 1740758614 | Ashlyn Akeila Dunham | Counselor | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2018-11-08 |
| 1497223523 | Nakia Lynae Byrd | Counselor | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2018-11-07 |
| 1104336197 | Andrea Beth Reitman | Counselor | 1023 Pico Blvd, Santa Monica, CA 90405 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on CLARE MATRIX.
| 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.