Organization Active NPI

Living Connected MBS, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Mirada, CA
National Provider Identifier
1407571367
Registry record updated Oct 4, 2022
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
LIVING CONNECTED MBS, INC.
Practice address
14311 Grayville Dr
La Mirada, CA 90638-1931
Phone
(626) 360-0828
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Dr. Tina Rose Houston-Armstrong, PH.D.NPI 1962521856
Title
Ceo
Phone
(626) 360-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14311 Grayville Dr
La Mirada, CA 90638-1931

Mailing address

14901 Adelfa Dr Unit 1675
La Mirada, CA 90638-4749
Phone (626) 360-0828

National Provider Directory

National Provider Directory
Tax ID family
Living Connected MBS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

14901 Adelfa Dr
Unit 1675
La Mirada, CA 90638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1407571367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 ADELFA DR UNIT 1675",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384749",
            "telephone_number": "626-360-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14311 GRAYVILLE DR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381931",
            "telephone_number": "626-360-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING CONNECTED MBS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "HOUSTON-ARMSTRONG",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-360-0828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.