Active NPI
Alafia Mental Health Institute
- Community/Behavioral Health Agency
- Gardena, CA
National Provider Identifier
1457674723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 61092IMFT
- Legal business name
- ALAFIA MENTAL HEALTH INSTITUTE
- Practice address
- 522 W Redondo Beach Blvd
Suite 204
Gardena, CA 90248 - Phone
- (310) 352-6422
- NPI assigned
- Mar 1, 2010
- Last updated
- Mar 1, 2010
- 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
- Dr. Jerzy Monkiewickz
- Title
- Licensed Psychologist
- Phone
- (310) 352-6422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 61092IMFT | CA | Primary |
Addresses
Primary practice location
522 W Redondo Beach Blvd
Suite 204
Gardena, CA 90248
Mailing address
522 W Redondo Beach Boulevard
Suite 204
Gardena, CA 90248
National Provider Directory
National Provider DirectoryLocations
522 W Redondo BCH Blvd
Ste 204
Gardena, CA 90248
Phone (310) 352-6422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267401600000",
"number": "1457674723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W REDONDO BEACH BOULEVARD",
"address_2": "SUITE 204",
"city": "GARDENA",
"state": "CA",
"postal_code": "90248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W REDONDO BEACH BLVD",
"address_2": "SUITE 204",
"city": "GARDENA",
"state": "CA",
"postal_code": "90248",
"telephone_number": "310-352-6422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAFIA MENTAL HEALTH INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A",
"authorized_official_last_name": "MONKIEWICKZ",
"authorized_official_first_name": "JERZY",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "310-352-6422",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "61092IMFT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.