Mjde LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MJDE LLC

Practice address

25548 White Oak Dr
Hemet, CA 92544-5366

Phone

(760) 468-4444

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Shey Waldrop, CADCLL

Title

Program Director

Phone

(760) 468-3444

Specialties & licenses 6

Addresses

Other names 1

• Royal Oak Recovery LLC Doing business as

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1295413425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23327 SARATOGA SPRINGS PL",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624803",
            "telephone_number": "760-468-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25548 WHITE OAK DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445366",
            "telephone_number": "760-468-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "SHEY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "760-468-3444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADCLL"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Recovery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Miramontes, SLPA
• Aracely Mireles
• Jacqueline Mitchell, LMFT
• Lacey Lynn Mitchell
• Avijit Mitra, CPO
• Carol Anne Mock, FNP-CS
• Erin Moen, PTA
• Katarina Moga
• Mogbonjubola a Adeyemo MD Professional Medical Corporation
• Mohammad Abul Fielat DDS Inc

• Addiction (Substance Use Disorder) Counselor in Hemet, CA
• Providers in Hemet, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.