Organization Active NPI

Within Health Provider Services

  • Adult Mental Health Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1265104038
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WITHIN HEALTH PROVIDER SERVICES
Practice address
2450 Colorado Ave Ste 100E
Santa Monica, CA 90404-5535
Phone
(866) 918-2114
NPI assigned
Sep 30, 2021
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Christine Stockert, RN
Title
Director of Health Services
Phone
(305) 725-2028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

2450 Colorado Ave Ste 100E
Santa Monica, CA 90404-5535

Mailing address

2665 S Bayshore Dr Ste 220
Miami, FL 33133-5402
Phone (866) 918-2114

National Provider Directory

National Provider Directory

Locations

11601 Wilshire Blvd
#547
Los Angeles, CA 90025

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1265104038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 S BAYSHORE DR STE 220",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335402",
            "telephone_number": "866-918-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 COLORADO AVE STE 100E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045535",
            "telephone_number": "866-918-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN HEALTH PROVIDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "STOCKERT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "305-725-2028",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.