NPIMap

Organization Active NPI

Connecting Mental Health & Education, Inc.

  • Voluntary or Charitable Agency
  • Redondo Beach, CA
National Provider Identifier
1700117223
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
MFC41135 Issued in CA
Legal business name
CONNECTING MENTAL HEALTH & EDUCATION, INC.
Doing business as
Connecting Mental Health & Education, Inc.
Practice address
901 N. Pacific Coast Hwy.
Suite 200a
Redondo Beach, CA 90277
Phone
(310) 316-1610
NPI assigned
Jan 22, 2010
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Ms. Therese Haviland, LMFT, PPS, SAPNPI 1972698231
Title
Ceo/Executive Director
Phone
(310) 316-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X MFC41135 CA Primary

Addresses

Primary practice location

901 N. Pacific Coast Hwy.
Suite 200a
Redondo Beach, CA 90277

Mailing address

1108 Opal Street
Suite C
Redondo Beach, CA 90277
Phone (310) 906-6752

Other identifiers 1

IdentifierTypeStateIssuer
EPS015480MedicaidCA

Other names 1

  • CONNECTING MENTAL HEALTH & EDUCATION, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Connecting Mental Health Education Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1700117223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 OPAL STREET",
            "address_2": "SUITE C",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-906-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N. PACIFIC COAST HWY.",
            "address_2": "SUITE 200A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-316-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTING MENTAL HEALTH & EDUCATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "HAVILAND",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-316-1610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, PPS, SAP"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "MFC41135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPS015480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONNECTING MENTAL HEALTH & EDUCATION, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.