Organization Active NPI

Ema CMHC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camarillo, CA
National Provider Identifier
1265255509
Registry record updated Nov 5, 2024
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
EMA CMHC
Practice address
803 Camarillo Springs Rd # F
Camarillo, CA 93012-9459
Phone
(805) 322-8685
Fax
(805) 504-1801
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mery Balayan
Title
Ceo
Phone
(818) 653-5454

Specialties & licenses 1

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

Addresses

Primary practice location

803 Camarillo Springs Rd # F
Camarillo, CA 93012-9459

Mailing address

803 Camarillo Springs Rd # F
Camarillo, CA 93012-9459
Phone (805) 322-8685

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2323102Ema CMHC803 Camarillo Springs Road, Suite F, Camarillo, CA 93012Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory

Locations

803 Camarillo Springs Rd
Ste F
Camarillo, CA 93012
Phone (805) 322-8685

803 Camarillo Springs Rd
#F
Camarillo, CA 93012
Phone (805) 322-8685

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1265255509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 CAMARILLO SPRINGS RD # F",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930129459",
            "telephone_number": "805-322-8685",
            "fax_number": "805-504-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 CAMARILLO SPRINGS RD # F",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930129459",
            "telephone_number": "805-322-8685",
            "fax_number": "805-504-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMA CMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "BALAYAN",
        "authorized_official_first_name": "MERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-653-5454"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.