Organization Active NPI

The New Beginning Fellowship Center

  • Addiction (Substance Use Disorder) Psychologist
  • Fountain Valley, CA
National Provider Identifier
1104826072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
300120BN Issued in CA
Legal business name
THE NEW BEGINNING FELLOWSHIP CENTER
Practice address
16581 Brookhurst St
Fountain Valley, CA 92708-2344
Phone
(714) 839-2515
Fax
(714) 839-5501
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alonzo Mitchell
Title
Ceo
Phone
(714) 839-2515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X 300120AN CA
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X 300120BN CA Primary

Addresses

Primary practice location

16581 Brookhurst St
Fountain Valley, CA 92708-2344

Mailing address

16581 Brookhurst St
Fountain Valley, CA 92708-2344
Phone (714) 839-2515

Other identifiers 2

IdentifierTypeStateIssuer
300120BNOtherCADEPT OF ALCOHOL & DRUG
300120ANOtherCADEPT OF ALCOHOL AND DRUG

National Provider Directory

National Provider Directory
Tax ID family
The New Beginning Fellowship Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104826072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16581 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082344",
            "telephone_number": "714-839-2515",
            "fax_number": "714-839-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16581 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082344",
            "telephone_number": "714-839-2515",
            "fax_number": "714-839-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW BEGINNING FELLOWSHIP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-839-2515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "300120AN",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "300120BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF ALCOHOL & DRUG",
            "identifier": "300120BN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF ALCOHOL AND DRUG",
            "identifier": "300120AN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.