Center for Mindful Change, LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CENTER FOR MINDFUL CHANGE, LLC.

Practice address

26066 Mulholland Hwy
Calabasas, CA 91302-1916

Phone

(818) 878-0888

Fax

(818) 878-9612

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Cole Rucker

Title

Executive Director

Phone

(310) 710-4000

Specialties & licenses 1

Addresses

Other names 1

• Mulholland Center Doing business as

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1700136264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26066 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021916",
            "telephone_number": "818-878-0888",
            "fax_number": "818-878-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26066 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021916",
            "telephone_number": "818-878-0888",
            "fax_number": "818-878-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MINDFUL CHANGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-710-4000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulholland Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Martin Caserio, PA-C
• Rosa Castellanos, AMFT
• Hazelle Cato
• CB Psychological Incorporated
• Cedars Sinai Home Health Care, Inc.
• Heidi Cerezo
• Sapeer Chamir
• Susan Champlin
• Amila Chathuresi Chandrapala, PSY. D.
• Lynn Chang

• Substance Abuse Rehabilitation Facility in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.