Mental Health House LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

MENTAL HEALTH HOUSE LLC

Practice address

11621 Las Luces
North Tustin, CA 92705-3122

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
  • Fountain Valley, CA
  • NPI 1609559913
  NPD tax ID
• Mental Health House, LLC

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

Locations

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": "1619650926",
    "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": "11621 LAS LUCES",
            "city": "NORTH TUSTIN",
            "state": "CA",
            "postal_code": "927053122",
            "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": []
}

• Jeanne Jones-Dunham, LCSW
• Jennifer Endo Kim
• Erica M. Kuhn, DO
• Caroline La, L.AC.
• Lissa Lim, M.A.
• Mental Health House, LLC
• Monroe Operations, LLC
• Ocean Valley Behavioral Health LLC
• Orthoinsight Evaluators Inc, Apc
• April Pitts, RN, IBCLC

• Psychiatric Residential Treatment Facility in North Tustin, CA
• Providers in North Tustin, 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.