NPIMap

Organization Active NPI

Mental Health America of Los Angeles

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1003138009
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL HEALTH AMERICA OF LOS ANGELES
Practice address
3633 E Broadway Ste 200
Long Beach, CA 90803-6035
Phone
(562) 285-1330
Fax
(562) 263-3395
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christina Miller, PHD
Title
President and Ceo
Phone
(562) 285-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3633 E Broadway Ste 200
Long Beach, CA 90803-6035

Mailing address

3633 E Broadway Ste 200
Long Beach, CA 90803-6035
Phone (562) 285-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100510000639 CA Part B Supplier - Clinic/Group Practice 1759419997 Receives reassigned benefits from 20 practitioners
7 other NPIs on this enrollment
Practice locations: Lancaster, CA; Long Beach, CA; Palmdale, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mental Health America of Los Angeles7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3633 E Broadway
Ste 200
Long Beach, CA 90803

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/mhala/r4/

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1003138009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 E BROADWAY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908036035",
            "telephone_number": "562-285-1330",
            "fax_number": "562-263-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 E BROADWAY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908036035",
            "telephone_number": "562-285-1330",
            "fax_number": "562-263-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AMERICA OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "562-285-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.