Organization Active NPI

Hatch Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Anaheim, CA
National Provider Identifier
1285331124
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HATCH BEHAVIORAL HEALTH LLC
Practice address
3455 E la Palma Ave Ste 205
Anaheim, CA 92806-2000
Phone
(330) 703-9594
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Antonio Pera
Title
Chief Executive Officer
Phone
(330) 703-9594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3455 E la Palma Ave Ste 205
Anaheim, CA 92806-2000

Mailing address

3455 E la Palma Ave Ste 205
Anaheim, CA 92806-2000
Phone (330) 703-9594

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
05D2289579Hatch Behavioral Health LLC3455 E la Palma Ave Suite 205, Anaheim, CA 92806Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

3455 E La Palma Ave
Ste 205
Anaheim, CA 92806
Phone (330) 703-9594

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1285331124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 E LA PALMA AVE STE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062000",
            "telephone_number": "330-703-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 E LA PALMA AVE STE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062000",
            "telephone_number": "330-703-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATCH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "PERA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-703-9594"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.