Active NPI
The New Beginning Fellowship Center
- Addiction (Substance Use Disorder) Psychologist
- Fountain Valley, CA
National Provider Identifier
1104826072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 300120BN
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 300120AN | CA | |
| Addiction (Substance Use Disorder) Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300120BN | Other | CA | DEPT OF ALCOHOL & DRUG |
| 300120AN | Other | CA | DEPT OF ALCOHOL AND DRUG |
National Provider Directory
National Provider Directory- Tax ID family
- The New Beginning Fellowship Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Fountain Valley, CA
- NPI 1376613067
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.