Mainstay Recovery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MAINSTAY RECOVERY

Practice address

2790 Harbor Blvd
Suite 208
Costa Mesa, CA 92626-5154

Phone

(830) 456-6340

NPI assigned

Jan 23, 2017

Organization subpart

No

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

Authorized official

Name

Kristin Hutson

Title

Ceo

Phone

(830) 456-6340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1063959591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HARBOR BLVD",
            "address_2": "SUITE 208",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HARBOR BLVD",
            "address_2": "SUITE 208",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265154",
            "telephone_number": "830-456-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTAY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-456-6340"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn N Mai
• Mica Mai
• Thanh Vu Mai, O.D.
• Anna Marie Mailand
• Nancy T Maillefer, PHARMD
• Emily Alicia Majano, LMFT
• Julia Majdali
• Angalina Maldonado
• Itsali Nicole Maldonado
• Blaire Jarvie Maliwat, ND, LAC, RDN

• Addiction (Substance Use Disorder) Counselor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.