Mira Coast Behavioral

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MIRA COAST BEHAVIORAL

Practice address

326 Old Newport Blvd
Newport Beach, CA 92663-4121

Phone

(949) 335-8802

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Indigo Allendorf

Title

Director

Phone

(949) 335-8802

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1598370710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634121",
            "fax_number": "754-212-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634121",
            "telephone_number": "949-335-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA COAST BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "ALLENDORF",
        "authorized_official_first_name": "INDIGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-335-8802",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PingMD",
            "affiliation": "N",
            "endpointDescription": "Ping MD messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3140 Red Hill Ave",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926263400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Minden
• Ming Truong, DDS, Inc.
• Brittany Minna
• Robin Mintzer Davis, PH.D.
• Hamid R. Mir, M.D.
• Carlos Miranda
• Sima Mirhashemi, D.O.
• Misa Butsuhara Marriage and Family Therapy Incorporated
• Alexander Seiji Misono, MD, MBA
• Asha Misra, MD

• Adult Mental Health Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.