Sobermind Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOBERMIND INC

Practice address

7321 Oso Ave
Winnetka, CA 91306-3216

Phone

(818) 398-8047

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Davit Alumyan

Title

Owner

Phone

(818) 398-8047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOBERMIND INC Doing business as

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1033788260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 OSO AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063216",
            "telephone_number": "818-398-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 OSO AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063216",
            "telephone_number": "818-398-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBERMIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "ALUMYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-398-8047"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "191063AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOBERMIND INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Laron Smith Jr.
• Laura Ann Smith, RD
• Mandy Smith
• Michelle Amber Smith, CPD
• Sober College Environments, LLC
• Solace Recovery
• Noushin Sorkhiroz
• Stanislav Spasov, DMD
• Ceyon Petrina Spence, RN
• Starline Home Health Care Inc

• Substance Abuse Rehabilitation Facility in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.