Mind Health Institute Santa Monica

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A108035 Issued in CA

Legal business name

MIND HEALTH INSTITUTE SANTA MONICA

Practice address

2730 Wilshire Blvd
#507
Santa Monica, CA 90403-4743

Phone

(310) 988-9393

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Davis, M.D.

Title

Co-Founder

Phone

(310) 988-9393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1215478441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "#507",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "#507",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034743",
            "telephone_number": "310-988-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEALTH INSTITUTE SANTA MONICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "310-988-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A108035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse N Mills, MD
• Eric Seth Millstein, M.D.
• Milton G Brandino DDS Inc
• Jy-Ah Min
• Mind & Body Men'S Clinic, a Professional Nursing Corporation
• Mindful Parenting Groups, Inc.
• Elizabeth Kohar Minelian, MA, MFT, CADC II
• Emily Minkow
• Daniel C Minton, MD
• Katherine Margaret Mintz

• Child & Adolescent Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.