Malibu TMS

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MALIBU TMS

Practice address

28955 Pacific Coast Hwy Ste 250
Malibu, CA 90265-3953

Phone

(310) 579-5192

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Jared ValentineNPI 1649607458

Title

Manager

Phone

(310) 579-5192

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Valentine

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
  • NPI 1649607458
  NPD Authorized official
• Evan Rhys Haines, PSYD

  • Counseling Psychologist
  • Malibu, CA
  • NPI 1912755125
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1316612591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HWY STE 135",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28955 PACIFIC COAST HWY STE 250",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653953",
            "telephone_number": "310-579-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU TMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-579-5192"
    },
    "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": []
}

• Malibu Medical Corporation
• Malibu Occupational & Speech Therapy
• Malibu Outpatient Inc
• Malibu Renewal Centre
• Malibu Seaside Serenity Cove, Inc.
• Litos O. Mallare, M.D.
• Maribel Mancillas
• Arthur Jay Margulies, JD, CADC-I
• Marriage and Family Research Institute
• Stephanie Rea Ann Martinez, M.A., AMFT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Malibu, CA
• Providers in Malibu, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.