Active NPI
Hillsdale Treatment Center LLC
- Adult Mental Health Clinic/Center
- Santa Ana, CA
National Provider Identifier
1033730379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HILLSDALE TREATMENT CENTER LLC
- Practice address
- 1400 E 4TH St Ste 100
Santa Ana, CA 92701-5114 - Phone
- (949) 635-4437
- NPI assigned
- Apr 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Nin
- Title
- Manager
- Phone
- (949) 635-4437
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1400 E 4TH St Ste 100
Santa Ana, CA 92701-5114
Mailing address
220 Newport Center Dr # 11-583
Newport Beach, CA 92660-7506
Phone (949) 635-4437
National Provider Directory
National Provider Directory- Tax ID family
- Hillsdale Treatment Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Tustin, CA
- NPI 1154212348
-
- Adult Mental Health Clinic/Center
- Oceanside, CA
- NPI 1336910397
Locations
2222 Martin
Irvine, CA 92612
Phone (949) 474-5575
220 Newport Center Dr
#11583
Newport Beach, CA 92660
1400 E 4th St
Ste 100
Santa Ana, CA 92701
Phone (949) 635-4437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1033730379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 NEWPORT CENTER DR # 11-583",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607506",
"telephone_number": "949-635-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E 4TH ST STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015114",
"telephone_number": "949-635-4437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSDALE TREATMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "NIN",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "949-635-4437"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.