Active NPI
Nexa Behavioral Health Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Simi Valley, CA
National Provider Identifier
1316851074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NEXA BEHAVIORAL HEALTH INC
- Practice address
- 1445 E Los Angeles Ave Ste 104
Simi Valley, CA 93065-2826 - Phone
- (805) 823-5966
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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. John J Poleno, CADC II
- Title
- Ceo
- Phone
- (805) 823-5966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
1445 E Los Angeles Ave Ste 104
Simi Valley, CA 93065-2826
Mailing address
1445 E Los Angeles Ave Ste 104
Simi Valley, CA 93065-2826
Phone (805) 823-5966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1316851074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 E LOS ANGELES AVE STE 104",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652826",
"telephone_number": "805-823-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 E LOS ANGELES AVE STE 104",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652826",
"telephone_number": "805-823-5966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXA BEHAVIORAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "POLENO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-823-5966",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CADC II"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.