Active NPI
Manatee Care
- Adolescent and Children Mental Health Clinic/Center
- Altadena, CA
National Provider Identifier
1568039709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- MANATEE CARE
- Practice address
- 161 W Altadena Dr Unit 564
Altadena, CA 91001-4735 - Phone
- (818) 860-2864
- NPI assigned
- Jun 7, 2021
- 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
- Mercedes Fernandez Oromendia, PHD
- Title
- Chief Clinical Officer
- Phone
- (818) 860-2864
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
161 W Altadena Dr Unit 564
Altadena, CA 91001-4735
Mailing address
161 W Altadena Dr Unit 564
Altadena, CA 91001-4735
National Provider Directory
National Provider DirectoryLocations
161 W Altadena Dr
Unit 564
Altadena, CA 91001
Phone (818) 860-2864
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Van Nuys, CA
- NPI 1447651492
-
- Marriage & Family Therapist
- San Rafael, CA
- NPI 1043764624
-
- Marriage & Family Therapist
- Santa Ana, CA
- NPI 1669740940
-
- Social Worker
- St Charles, IL
- NPI 1255066007
-
- Clinical Social Worker
- Highland Park, IL
- NPI 1518325398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652227200000",
"number": "1568039709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W ALTADENA DR UNIT 564",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910014735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W ALTADENA DR UNIT 564",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910014735",
"telephone_number": "818-860-2864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANATEE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A",
"authorized_official_last_name": "FERNANDEZ OROMENDIA",
"authorized_official_first_name": "MERCEDES",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "818-860-2864",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.