Organization Active NPI

Cloverleaf Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Alhambra, CA
National Provider Identifier
1194152702
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-11-8248 Issued in FL
Legal business name
CLOVERLEAF BEHAVIORAL SERVICES, LLC
Practice address
429 S Palm Ave
Alhambra, CA 91803-1422
Phone
(626) 826-8800
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Solida Mekpongsatorn, BCBA
Title
President
Phone
(626) 826-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-11-8248 FL Primary

Addresses

Primary practice location

429 S Palm Ave
Alhambra, CA 91803-1422

Mailing address

506 S. Palm Ave.
Alhambra, CA 91803

National Provider Directory

National Provider Directory

Locations

429 S Palm Ave
Alhambra, CA 91803
Phone (626) 826-8800

506 S Palm Ave
Alhambra, CA 91803
Phone (626) 826-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1194152702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S. PALM AVE.",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S PALM AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031422",
            "telephone_number": "626-826-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVERLEAF BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "MEKPONGSATORN",
        "authorized_official_first_name": "SOLIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-826-8800",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1-11-8248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.