NPIMap

Organization Active NPI

Novus Mindful Life Institute

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1558679696
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44567 Issued in CA
Legal business name
NOVUS MINDFUL LIFE INSTITUTE
Practice address
6695 E Pacific Coast Hwy
Suite 135
Long Beach, CA 90803-4203
Phone
(562) 431-5100
Fax
(562) 431-3560
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mrs. Danielle M Osterlind
Title
Owner
Phone
(562) 822-5699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 20813 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 44567 CA Primary

Addresses

Primary practice location

6695 E Pacific Coast Hwy
Suite 135
Long Beach, CA 90803-4203

Mailing address

6695 E Pacific Coast Hwy
Suite 135
Long Beach, CA 90803-4203
Phone (562) 431-5100

National Provider Directory

National Provider Directory

Locations

6695 E Pacific Coast Hwy
Ste 135
Long Beach, CA 90803
Phone (562) 431-5100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1558679696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY",
            "address_2": "SUITE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034203",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 E PACIFIC COAST HWY",
            "address_2": "SUITE 135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034203",
            "telephone_number": "562-431-5100",
            "fax_number": "562-431-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS MINDFUL LIFE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "OSTERLIND",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-822-5699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20813",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.