Mental Health House LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

MENTAL HEALTH HOUSE LLC

Practice address

10618 El Toro Ave
Fountain Valley, CA 92708-4811

Phone

(949) 731-3184

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Jason Brumback

Title

President

Phone

(949) 303-8951

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mental Health House LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mental Health House LLC

  • Psychiatric Residential Treatment Facility
  • Costa Mesa, CA
  • NPI 1447842760
  NPD tax ID
• Mental Health House LLC

  • Psychiatric Residential Treatment Facility
  • North Tustin, CA
  • NPI 1619650926
  NPD tax ID
• Mental Health House, LLC

  • Psychiatric Residential Treatment Facility
  • North Tustin, CA
  • NPI 1427895804
  NPD tax ID

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1609559913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TELLER AVE STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608144",
            "telephone_number": "949-303-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10618 EL TORO AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084811",
            "telephone_number": "949-731-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "BRUMBACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-303-8951"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meg Menchavez, BS, AS
• Candie Mendez, B.A
• Kyla Sabrina Mendez
• Liliana Mendez, ACSW
• Jennifer Mendrin
• William Raymond Menzies, M.D.
• Bharat V Merai, M.D.
• Alvin Merilles, FNP
• Nancy Adriana Merlino, LCSW
• Ereny Abdelmalak Metry

• Psychiatric Residential Treatment Facility in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.