DEPARTMENT OF MENTAL HEALTH


Address: 19231 Victory Blvd, Suit 110, Reseda, CA 91335-6308
Phone: 8187084514

DEPARTMENT OF MENTAL HEALTH (NPI# 1639291768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639291768
Entity Type Organization
Organization Name DEPARTMENT OF MENTAL HEALTH
Practice Address 19231 Victory Blvd
Suit 110
Reseda
CA 91335-6308
Mailing Address 1415 N Gardner St
Los Angeles
CA 90046-4156
Practice Telephone 8187084514
Mailing Telephone 3238746952
Enumeration Date 2007-04-06
Last Update Date 2020-08-22
Authorized Official Name ALEKSANDR DOZORTSEV (MEDICAL CASE WORKER I)
Authorized Official Telephone 8187084514
Authorized Official Credential BSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477933463 Department of Mental Health Clinic/Center 550 South Vermont, Los Angeles, CA 90020 2015-06-04
1609217173 Department of Mental Health Case Management 440 Bauchet Street, Los Angeles, CA 90012 2013-07-12
1790023554 Department of Mental Health Community/Behavioral Health 42230 N. Lake Hughes Avenue, Lake Hughes, CA 93532 2013-01-29
1265770291 Department of Mental Health Student in an Organized Health Care Education/Training Program 11303 West Washington Boulvard, Suite 200, Los Angeles, CA 90066 2013-01-25
1346556214 Department of Mental Health Community/Behavioral Health 550 S. Vermont Street 6th Floor, Los Angeles, CA 90020-1912 2010-08-30
1093021420 Department of Mental Health Social Worker 2668 E 58th St, Huntington Park, CA 90255-2608 2010-08-23
1134453236 Department of Mental Health Psychiatric Hospital 21730 S. Vermont Avenue, Suite 210, Torrance, CA 90509 2009-09-23
1851548721 Department of Mental Health Psychiatric Unit 4040 Adair St, Los Angeles, CA 90011-2902 2008-08-22
1154549921 Department of Mental Health Community/Behavioral Health Western Mass Rho, 1 Prince St, Northampton, MA 01060 2007-04-24
1780802561 Department of Mental Health Case Management 40 Institute Rd, Oaks B Bldg, Southbridge - Milford Cm, No Grafton, MA 01532 2007-04-24

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEPARTMENT OF MENTAL HEALTH 768 Pleasant Valley Rd Ste 201, Placerville, CA 95667

Office Location

Street Address 19231 VICTORY BLVD
SUIT 110
City RESEDA
State CA
Zip Code 91335-6308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104821859 Gregg A Louk Dentist 19231 Victory Blvd, Ste 250, Reseda, CA 91335-6340 2005-06-18
1023597788 Jessica Avila Rehabilitation Practitioner 19231 Victory Blvd, Reseda, CA 91335-6308 2018-08-13
1417312984 Care Connection Home Health Agency Inc Home Health 19231 Victory Blvd, Suite 259, Reseda, CA 91335-6308 2015-12-28
1972900850 Marjan Sadeghi Acupuncturist 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 2014-11-20
1386061893 Milton L. Payne Incorporated Chiropractor 19231 Victory Blvd, Suite 557, Reseda, CA 91335-6308 2014-03-21
1508282401 Pacific Imaging Enterprises, Inc. Clinic/Center 19231 Victory Blvd, Suite 153, Reseda, CA 91335-6308 2014-03-15
1881933562 Jason Song Acupuncture & Herbs, Inc. Acupuncturist 19231 Victory Blvd, Suite 211, Reseda, CA 91335-6308 2013-01-31
1346599859 Maryam Monjezi Acupuncturist 19231 Victory Blvd, Ste 350, Reseda, CA 91335-6308 2012-08-30
1780948604 Svetlana Mironova Acupuncturist 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 2012-06-26
1407117195 Roya Rahimzadeh Moghadam Chiropractor 19231 Victory Blvd, Suite 356, Reseda, CA 91335-6308 2012-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356968754 Thomas Allen Hambright Massage Therapist 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 2020-07-01
1558912014 Harriet Ann Bickel Technician 18006 Hatton St., Reseda, CA 91335 2019-09-26
1528627106 Topanga Hospice Care, Inc. Hospice Care, Community Based 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 2019-06-07
1881174043 Aludra Inc. Hospice Care, Community Based 18325 Sherman Way, Suite A, Reseda, CA 91335 2018-08-17
1417437658 Buonora Development, Inc Physical Therapist 19325 Sherman Way, Reseda, CA 91335 2018-08-16
1770073793 Deanna Marie Niekamp Counselor 7232 Canby Ave. #4,5,6, Reseda, CA 91335 2018-05-15
1013423383 Bassa Logistic Inc Non-emergency Medical Transport (VAN) 19537 Valerio Street, Reseda, CA 91335 2017-12-21
1093237919 Belinda Reser Counselor 7101 Baird St, Reseda, CA 91335 2017-07-12
1720500028 Hermine Karapetyan Hearing Instrument Specialist 19367 Victory Blvd., Suite 14, Reseda, CA 91335 2017-07-09
1902352461 Baird Group Home Residential Treatment Facility, Emotionally Disturbed Children 7701 Baird Avenue, Reseda, CA 91335 2016-08-25
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215319652 Star View Behavioral Health Inc. Community/Behavioral Health 7601 Canby Ave., Suite 3, Reseda, CA 91335-2979 2015-06-22
1104168723 Dr Orkideh Csukay Inc, A Psychological Corporation Community/Behavioral Health 18305 Sherman Way # 31, Reseda, CA 91335-4425 2013-03-21
1174882930 New Choice Recovery Treatment Center, Inc. Community/Behavioral Health 18107 Sherman Way Ste 203, Reseda, CA 91335-8802 2012-05-14

Providers in the same taxonomy and state

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
1013518687 Turning Point of Central California, Inc. Community/Behavioral Health 3636 N 1st St Ste 112, Fresno, CA 93726-6818 2020-11-02
1588264113 Licensed Clinical Social Worker Community Alliance PC Community/Behavioral Health 301 S 23rd St, Richmond, CA 94804-2807 2020-11-01
1134729718 Cynthia Felicia Delaney Community/Behavioral Health 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 2020-10-31
1114527637 Clarke-lauren Stevenson Richard Community/Behavioral Health 1277 E Loma Linda Ave, Fresno, CA 93720-2668 2020-10-26
1891395232 Jacqulyn Danielle Rios Community/Behavioral Health 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 2020-10-26
1346849213 Greystone Behavioral Health Nursing Inc Community/Behavioral Health 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 2020-10-22
1376142216 Melissa Reyes Aguilar Community/Behavioral Health 2248 S Cochran Ave, Los Angeles, CA 90016-1218 2020-10-21
1578162616 Bayfront Healthcare Services Community/Behavioral Health 2703 N Studebaker Rd, Long Beach, CA 90815-1628 2020-10-20
1326647686 Sierra Child & Family Services Community/Behavioral Health 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 2020-10-19
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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

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.

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