Center for Discovery & Adolescent Change

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

980001593 Issued in CA

Legal business name

CENTER FOR DISCOVERY & ADOLESCENT CHANGE

Practice address

4281 Katella Ave Ste 111
Los Alamitos, CA 90720-3588

Phone

(714) 828-1800

Fax

(714) 828-1868

NPI assigned

Mar 26, 2012

Last updated

Mar 26, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

BEHAVIORAL HEALTH HOLDINGS II, INCAs reported in NPPES

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

Authorized official

Name

Mr. Gerald A Carminio

Title

Managing Director

Phone

(714) 828-1800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1326314212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 111",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203588",
            "telephone_number": "714-828-1800",
            "fax_number": "714-828-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 111",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203588",
            "telephone_number": "714-828-1800",
            "fax_number": "714-828-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DISCOVERY & ADOLESCENT CHANGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL HEALTH HOLDINGS II, INC",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "CARMINIO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "714-828-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "980001602",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "980001593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Catone, MFT
• Cecilia Chu, M.D., Inc.
• Eddie Alejandro Cecilio, D.D.S.
• Jacqueline Celaya, MA, EDS
• Risha Alleyne Rodis Cenidoza
• Centers for Family Medicine
• Centers for Family Medicine GP (Optumcare Medical Group)
• Cep America-California
• Alexa Y Chai, M.D.
• Stuart Alexander Chalfin, M.D.

• Psychiatric Residential Treatment Facility in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.