Organization Active NPI

The Mental Health Collective, LLC

  • Adult Mental Health Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1295209831
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jan 16, 2019

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)CodeLicenseStatePrimary
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 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
05D2307365The Mental Health Collective20377 SW Acacia St, Ste 110, Newport Beach, CA 92660Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
The Mental Health Collective LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.