Organization Active NPI

Social Model Recovery Systems, Inc.

  • Community/Behavioral Health Agency
  • Pomona, CA
National Provider Identifier
1447615539
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOCIAL MODEL RECOVERY SYSTEMS, INC.
Practice address
656 N Park Ave
Pomona, CA 91768-3679
Phone
(909) 629-4084
Fax
(909) 629-4086
NPI assigned
Dec 16, 2015
Organization subpart
Yes
Parent organization
SOCIAL MODEL RECOVERY SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Lynetta Louise Hale, MA, LMFT, LPT
Title
Senior Director, Clinical Services
Phone
(626) 332-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

656 N Park Ave
Pomona, CA 91768-3679

Mailing address

656 N Park Ave
Pomona, CA 91768-3679
Phone (909) 629-4084

Other names 2

  • NCADD of ESG & PV Doing business as
  • National Council on Alcoholism and Drug Dependence Pomona Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Council on Alcoholism and Drug Dependence of East S2 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

656 N Park Ave
Pomona, CA 91768
Phone (909) 629-4084

Practitioners & affiliated clinicians

Practitioners 5

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1447615539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683679",
            "telephone_number": "909-629-4084",
            "fax_number": "909-629-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683679",
            "telephone_number": "909-629-4084",
            "fax_number": "909-629-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL MODEL RECOVERY SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOCIAL MODEL RECOVERY SYSTEMS, INC.",
        "enumeration_date": "2015-12-16",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LYNETTA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "626-332-3145",
        "authorized_official_credential": "MA, LMFT, LPT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCADD of ESG & PV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Council on Alcoholism and Drug Dependence Pomona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.