Organization Active NPI

Recovery Advocates, LLC

  • Adult Mental Health Clinic/Center
  • Westlake Village, CA
National Provider Identifier
1629507595
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
17-00034798 Issued in CA
Legal business name
RECOVERY ADVOCATES, LLC
Practice address
1800 Bridgegate St Ste 204
Westlake Village, CA 91361-1459
Phone
(805) 371-7877
Fax
(805) 557-1999
NPI assigned
Jun 5, 2017
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mr. Stuart D. Bimbaum
Title
Ceo/Executive Director
Phone
(561) 267-8481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 17-00034798 CA Primary

Addresses

Primary practice location

1800 Bridgegate St Ste 204
Westlake Village, CA 91361-1459

Mailing address

1014 S Westlake Blvd Suite # 14-275
Westlake Village, CA 91361-3108
Phone (561) 267-8481

National Provider Directory

National Provider Directory

Locations

1800 Bridgegate St
Ste 204
Westlake Vlg, CA 91361
Phone (805) 777-7595

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1629507595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S WESTLAKE BLVD SUITE # 14-275",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613108",
            "telephone_number": "561-267-8481",
            "fax_number": "805-557-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BRIDGEGATE ST STE 204",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611459",
            "telephone_number": "805-371-7877",
            "fax_number": "805-557-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY ADVOCATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "BIMBAUM",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-267-8481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "17-00034798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.