Organization Active NPI

Hoag Neurobehavioral Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1356901318
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
HOAG NEUROBEHAVIORAL HEALTH LLC
Practice address
307 Placentia Ave
Newport Beach, CA 92663-3310
Phone
(949) 764-5856
NPI assigned
Jun 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Maureen Sparks
Title
Director, Managed Care
Phone
(949) 764-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

307 Placentia Ave
Newport Beach, CA 92663-3310

Mailing address

2975 Red Hill Ave Ste 200
Costa Mesa, CA 92626-1206
Phone (949) 764-4624

National Provider Directory

National Provider Directory
Tax ID family
Hoag Neurobehavioral Health LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

307 Placentia Ave
Newport Beach, CA 92663
Phone (949) 307-3537

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1356901318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 RED HILL AVE STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261206",
            "telephone_number": "949-764-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PLACENTIA AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633310",
            "telephone_number": "949-764-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOAG NEUROBEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "949-764-5700"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.