Organization Active NPI

Alafia Mental Health Institute

  • Community/Behavioral Health Agency
  • Gardena, CA
National Provider Identifier
1457674723
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
61092IMFT Issued in CA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.