Santa Monica Collective Mind Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SANTA MONICA COLLECTIVE MIND INC

Doing business as

Center for Integrative Counseling and Coaching

Practice address

1247 7TH St Ste 202
Santa Monica, CA 90401-1643

Phone

(617) 733-5461

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Mike Malone

Title

Ceo

Phone

(617) 733-5461

Specialties & licenses 1

Addresses

Other names 1

• Center for Integrative Counseling and Coaching Doing business as

Locations

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1467161000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 7TH ST STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 7TH ST STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011643",
            "telephone_number": "617-733-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA COLLECTIVE MIND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-733-5461"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Integrative Counseling and Coaching",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Integrative Counseling and Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santa Monica Bay Area Physicians (Santa Monica Bay Physicians)
• Santa Monica Bay Dental
• Santa Monica Bay Physicians (Santa Monica Bay Eye Associates)
• Santa Monica Bay Physicians
• Santa Monica Black Lives Association (Santa Monica Black Empowerment Association (SMBEA))
• Santa Monica Dermatology Group
• Santa Monica Detox
• Santa Monica Eye Medical Group
• Santa Monica Gynecological and Obstectrical Medical Group Incorporated
• Santa Monica Hand Therapy, Inc.

• Substance Abuse Rehabilitation Facility in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.