Active NPI
Mass Mental Health Foundation
- Mental Health Counselor
- Culver City, CA
National Provider Identifier
1386555035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MASS MENTAL HEALTH FOUNDATION
- Practice address
- 6041 Bristol Pkwy Ste 100
Culver City, CA 90230-6601 - Phone
- (443) 808-0537
- NPI assigned
- Sep 14, 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
- Ms. Fatima Disu
- Title
- President
- Phone
- (410) 299-0875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
6041 Bristol Pkwy Ste 100
Culver City, CA 90230-6601
Mailing address
2555 Madison Ave
Baltimore, MD 21217-4041
Phone (443) 808-0537
Other practice location 1
2555 Madison Ave
Baltimore, MD 21217-4041
Phone (443) 808-0537
Other practice location 2
51 Federal St Ste 401
San Francisco, CA 94107-4151
Phone (443) 808-0537
Other practice location 3
3841 Brickway Blvd Ste 205
Santa Rosa, CA 95403-8226
Phone (707) 856-3653
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1386555035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 MADISON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174041",
"telephone_number": "443-808-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 BRISTOL PKWY STE 100",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306601",
"telephone_number": "443-808-0537"
}
],
"practiceLocations": [
{
"address_1": "2555 Madison Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212174041",
"country_code": "US",
"telephone_number": "443-808-0537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "51 Federal St Ste 401",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941074151",
"country_code": "US",
"telephone_number": "443-808-0537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3841 Brickway Blvd Ste 205",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954038226",
"country_code": "US",
"telephone_number": "707-856-3653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MASS MENTAL HEALTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "DISU",
"authorized_official_first_name": "FATIMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-299-0875",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.