Mental Health and Social Justice Clinic Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENTAL HEALTH AND SOCIAL JUSTICE CLINIC INC.

Practice address

1700 W Cameron Ave
Suite 100
West Covina, CA 91790-2718

Phone

(213) 634-0044

Fax

(626) 388-5990

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Anissa McNeil

Title

Executive Director

Phone

(213) 634-0044

Specialties & licenses 1

Addresses

Practitioners 1

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

• Naomi Perkins

  • Clinical Social Worker
  • West Covina, CA
  • NPI 1700539442
  NPD

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1457039273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W CAMERON AVE",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902718",
            "telephone_number": "213-634-0044",
            "fax_number": "626-388-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W CAMERON AVE",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902718",
            "telephone_number": "213-634-0044",
            "fax_number": "626-388-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH AND SOCIAL JUSTICE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-634-0044",
        "authorized_official_name_prefix": "Dr."
    },
    "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": []
}

• Cecilia Mendoza
• Damian Mendoza
• Estefania Mendoza
• Helen Mendoza
• Rafael Enrique Mendoza, M.D.
• Merakey Allos
• Amanda Mercado
• Elen Joie Mercado, MS, BCBA
• Mia Mercado
• Samantha Mercado

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Covina, CA
• Providers in West Covina, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.