Organization Active NPI

Mass Mental Health Foundation

  • Mental Health Counselor
  • Culver City, CA
National Provider Identifier
1386555035
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 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
Ms. Fatima Disu
Title
President
Phone
(410) 299-0875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.