Elevated Healing Behavioral Health Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELEVATED HEALING BEHAVIORAL HEALTH INC.

Practice address

21250 Califa St Ste 114
Woodland Hills, CA 91367-5023

Phone

(310) 880-8710

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Fallah, PHDNPI 1023862588

Title

Coo

Phone

(310) 880-8710

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren Russell Taff, MD

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1861613481
  Medicare reassignment NPD
• Nicole Fallah Fallah, PHD

  • Mental Health Counselor
  • Woodland Hills, CA
  • NPI 1023862588
  NPD Authorized official
• Kourosh Moradi, MD

  • Student in an Organized Health Care Education/Training Program
  • Woodland Hills, CA
  • NPI 1386493906
  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1083467096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 CALIFA ST STE 114",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675023",
            "telephone_number": "310-880-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 CALIFA ST STE 114",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675023",
            "telephone_number": "310-880-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALING BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "FALLAH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-880-8710",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Samuel Eisenberg, O.D.
• Zenna Adel Eissa
• El Camino Real Charter High School
• Elegant Hospice Care
• Elevated Care Hospice
• Nancy Elgawly
• Eli Home Health, Inc.
• Elia Health & Wellness Inc
• Halimeh B Elian, NP
• Carlos Elias

• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.