Active NPI
The Mental Health Collective, LLC
- Adult Mental Health Clinic/Center
- Newport Beach, CA
National Provider Identifier
1295209831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- THE MENTAL HEALTH COLLECTIVE, LLC
- Practice address
- 20377 SW Acacia St Ste 120
Newport Beach, CA 92660-0781 - Phone
- (949) 629-3453
- NPI assigned
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Franke
- Title
- Ceo
- Phone
- (949) 514-8027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
20377 SW Acacia St Ste 120
Newport Beach, CA 92660-0781
Mailing address
20377 SW Acacia St Ste 110
Newport Beach, CA 92660-0781
Phone (949) 629-3453
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2307365 | The Mental Health Collective | Certificate of waiver | Jul 7, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- The Mental Health Collective LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Newport Beach, CA
- NPI 1003544370
-
- Psychiatric Residential Treatment Facility
- Newport Beach, CA
- NPI 1023746393
-
- Psychiatric Residential Treatment Facility
- Newport Beach, CA
- NPI 1033837976
-
- Psychiatric Residential Treatment Facility
- Newport Beach, CA
- NPI 1942928015
Locations
20377 SW Acacia St
Ste 120
Newport Beach, CA 92660
Phone (949) 629-3453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1295209831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20377 SW ACACIA ST STE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600781",
"telephone_number": "949-629-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20377 SW ACACIA ST STE 120",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600781",
"telephone_number": "949-629-3453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MENTAL HEALTH COLLECTIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "FRANKE",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-514-8027",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 16, 2019; 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.