NPIMap

Organization Active NPI

Villages of California, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Orange, CA
National Provider Identifier
1588424519
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
VILLAGES OF CALIFORNIA, INC.
Practice address
805 W la Veta Ave Ste 205
Orange, CA 92868-3929
Phone
(657) 339-2799
NPI assigned
Mar 19, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Cory Brosch, LMFTNPI 1538540331
Title
Chief Operating Officer
Phone
(949) 257-9128

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

805 W la Veta Ave Ste 205
Orange, CA 92868-3929

Mailing address

805 W la Veta Ave Ste 205
Orange, CA 92868-3929
Phone (657) 339-2799

Other practice location 1

1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633
Phone (657) 339-2799

National Provider Directory

National Provider Directory

Locations

805 W La Veta Ave
Ste 205
Orange, CA 92868
Phone (657) 339-2799

Practitioners & affiliated clinicians

Practitioners 5

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1588424519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683929",
            "telephone_number": "657-339-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W LA VETA AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683929",
            "telephone_number": "657-339-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Town and Country Rd Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684633",
            "country_code": "US",
            "telephone_number": "657-339-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLAGES OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BROSCH",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "949-257-9128",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.