Organization Active NPI

Nexa Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Simi Valley, CA
National Provider Identifier
1316851074
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.