Organization Active NPI

Green Meadows Mind Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport Beach, CA
National Provider Identifier
1235915562
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GREEN MEADOWS MIND HEALTH, INC.
Practice address
20377 SW Acacia St Ste 200
Newport Beach, CA 92660-1780
Phone
(949) 371-9551
NPI assigned
Sep 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Dr. David Safani, MD, MBANPI 1003133521
Title
President
Phone
(949) 371-9551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

20377 SW Acacia St Ste 200
Newport Beach, CA 92660-1780

Mailing address

20377 SW Acacia St Ste 200
Newport Beach, CA 92660-1780
Phone (949) 391-5771

Other identifiers 1

IdentifierTypeStateIssuer
1003133521MedicaidCA

National Provider Directory

National Provider Directory

Locations

20377 SW Acacia St
Ste 200
Newport Beach, CA 92660
Phone (949) 371-9551

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": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1235915562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601780",
            "telephone_number": "949-391-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601780",
            "telephone_number": "949-371-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEADOWS MIND HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "SAFANI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-371-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003133521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.