NPIMap

Organization Active NPI

Westside Sober Living Centers, Inc

  • Psychiatric Residential Treatment Facility
  • Malibu, CA
National Provider Identifier
1669923124
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
197608528 Issued in CA
Legal business name
WESTSIDE SOBER LIVING CENTERS, INC
Practice address
20786 Cool Oak Way
Malibu, CA 90265-5318
Phone
(424) 235-2337
Fax
(310) 943-0438
NPI assigned
Oct 20, 2016
Organization subpart
Yes
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Mrs. Cheryl Maplesden, CPC, CHC, CHPC
Title
Sr Director RCM
Phone
(615) 510-3708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 198601437 CA
Psychiatric Residential Treatment Facility 323P00000X 197608528 CA Primary

Addresses

Primary practice location

20786 Cool Oak Way
Malibu, CA 90265-5318

Mailing address

PO Box 670549
Dallas, TX 75267-0549
Phone (615) 567-7282

Other names 1

  • PROMISES MALIBU VISTA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promises Malibu5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

20786 Cool Oak Way
Malibu, CA 90265
Phone (424) 235-2337

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1669923124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670549",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670549",
            "telephone_number": "615-567-7282",
            "fax_number": "615-261-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20786 COOL OAK WAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655318",
            "telephone_number": "424-235-2337",
            "fax_number": "310-943-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SOBER LIVING CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEMENTS BEHAVIORAL HEALTH, INC",
        "enumeration_date": "2016-10-20",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "SR DIRECTOR RCM",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198601437",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "197608528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMISES MALIBU VISTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.