CLARE MATRIX (NPI# 1851645394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851645394 |
| Entity Type | Organization |
| Organization Name | CLARE MATRIX |
| Other Organization Name | WOMEN'S RESIDENTIAL TREATMENT PROGRAM |
| Practice Address |
844 Pico Blvd Santa Monica CA 90405-1325 |
| 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 | 2012-11-06 |
| 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 | 324500000X | Substance Abuse Rehabilitation Facility | 190016HN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 190016FN | 01 |
| Other Name | Type Code |
|---|---|
| Women's Residential Treatment Program | 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 |
| 1306387006 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2017-03-14 |
| 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 |
| Street Address |
844 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238920 | Lucille I Sipert | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2012-06-04 |
| 1558976399 | Jessica Marie Harding | Social Worker | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-09-09 |
| 1043824576 | Judy Lauzon | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-09-02 |
| 1326650805 | Angella Carter | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-08-17 |
| 1578171062 | Shereen Sutphen | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-07-21 |
| 1518580299 | Lacinda Ford | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-05-28 |
| 1336777473 | James W Williams | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-04-01 |
| 1336799501 | Motique Angette Alston | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-09-18 |
| 1841857901 | Darreasha Angelica Dukes | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-05-23 |
| 1710543186 | Ashley Botty | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-05-11 |
| Find all providers in the same location | ||||
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972091999 | Foundation Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402 | 2018-04-25 |
| 1477051761 | Sea Change Santa Monica, L.p. | Substance Abuse Rehabilitation Facility | 2205 Hill St, Santa Monica, CA 90405-5007 | 2018-02-01 |
| 1053823310 | Clare Foundation, Inc. | Substance Abuse Rehabilitation Facility | 2207 -1/2 23rd St, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1508378860 | Clare Matrix | Substance Abuse Rehabilitation Facility | 2207 & 2207 1/2 23rd Street, Santa Monica, CA 90405-1725 | 2017-10-26 |
| 1053855023 | Victorias House, LLC | Substance Abuse Rehabilitation Facility | 1813 12th St, Unit A, Santa Monica, CA 90404-4637 | 2016-12-11 |
| 1962839746 | Clare Matrix | Substance Abuse Rehabilitation Facility | 1869-1871 9th St, Santa Monica, CA 90404-4501 | 2013-10-10 |
| 1780021071 | Pacific View Recovery Center | Substance Abuse Rehabilitation Facility | 643 Pacific St, Unit 1, Santa Monica, CA 90405-2437 | 2013-05-28 |
| 1245521509 | Cast Recovery Services | Substance Abuse Rehabilitation Facility | 1830 Lincoln Blvd Ste 111, Santa Monica, CA 90404-4524 | 2011-04-21 |
| 1043537913 | Clare Matrix | Substance Abuse Rehabilitation Facility | 905-909 Pico Blvd., Santa Monica, CA 90405-1326 | 2010-04-30 |
| 1891268066 | Strategic Health Services LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402-1126 | 2019-01-09 |
| Find all providers in SANTA MONICA | ||||
| 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.