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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
222 AMALFI DR |
City | SANTA MONICA |
State | CA |
Zip Code | 90402 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | SANTA MONICA |
Zip Code | 90402 |
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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.