FOUNDATION BEHAVIORAL HEALTH LLC


Address: 222 Amalfi Dr, Santa Monica, CA 90402
Phone: 9495656197

FOUNDATION BEHAVIORAL HEALTH LLC (NPI# 1972091999) 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) 1972091999
Entity Type Organization
Organization Name FOUNDATION BEHAVIORAL HEALTH LLC
Practice Address 222 Amalfi Dr
Santa Monica
CA 90402
Mailing Address 222 Amalfi Dr
Santa Monica
CA 90402-1126
Practice Telephone 9495656197
Mailing Telephone 9495656197
Enumeration Date 2018-04-25
Last Update Date 2018-06-04
Authorized Official Name HOWARD GOODMAN (CLINICAL DIRECTOR)
Authorized Official Telephone 8662360968
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 222 AMALFI DR
City SANTA MONICA
State CA
Zip Code 90402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891268066 Strategic Health Services LLC Substance Abuse Rehabilitation Facility 222 Amalfi Dr, Santa Monica, CA 90402-1126 2019-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154822997 Leora Aframian Dietitian, Registered 805 Woodacres Rd, Santa Monica, CA 90402 2018-02-27
1881123917 Brenda Heidrich Psychologist 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 2017-06-12
1578005559 Dor Keyvani Pharmacist 326 San Vicente Blvd., Apt.n, Santa Monica, CA 90402 2016-11-08
1083905707 Bruce R. Gordon Psychologist 270-26th St., Suite 202, Santa Monica, CA 90402 2011-04-28
1740426352 Adel E. Salawy Family Medicine 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 2009-01-02
1093927899 Martin S. Wasserman M.d. Inc. Psychoanalyst 510 E Channel Rd., Santa Monica., CA 90402 2007-05-04
1649339987 Massoud Nemazee Dentist 757 Ocean Ave #307, Santa-monica, CA 90402 2006-12-06
1851468136 Deborah Nadel Psychiatry & Neurology 304 Euclid St, Santa Monica, CA 90402 2006-11-29
1376592345 David Lewis Geffner Internal Medicine 310 16th St., Santa Monica, CA 90402 2006-05-08
1124049689 Polly A Badt Physical Therapist 9 Latimer Rd, Santa Monica, CA 90402-1011 2006-07-21
Find all providers in zip 90402

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1104398742 Clare Matrix Substance Abuse Rehabilitation Facility 2644 30th St Ste 100, Santa Monica, CA 90405-3051 2018-12-20
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90402

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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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