Mermaids Cove Malibu Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

MERMAIDS COVE MALIBU INC.

Practice address

5332 Horizon Dr
Malibu, CA 90265-3738

Phone

(310) 488-4676

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindyana Lair Santangelo

Title

Ceo

Phone

(310) 488-4676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1184139875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28875 SELFRIDGE DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 HORIZON DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653738",
            "telephone_number": "310-488-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAIDS COVE MALIBU INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "LAIR SANTANGELO",
        "authorized_official_first_name": "CINDYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-488-4676"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Ann McGill
• Andrea McGovern, MS MFT
• Sydney Dodge McIlvain, LCGC
• Kellye D McKinna, PHD
• Patricia Lee McNamee, PHARM.D.
• Leila Mesghali, LMFT
• Talin Meshefedjian, DO
• Michael J. Maguire Acupuncturist, Inc.
• Rose Milanes-Skopp, DO
• Cheryl S Miller, EDUCATIONAL PSYCHOLO

• Children's Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.