Sea Change Recovery 2 LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SEA CHANGE RECOVERY 2 LLC

Practice address

1831 Wilshire Blvd Ste Candc2
Santa Monica, CA 90403-5777

Phone

(949) 244-5481

NPI assigned

Mar 28, 2023

Last updated

Mar 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela McMahon

Title

Compliance

Phone

(619) 871-7345

Specialties & licenses 2

Addresses

Tax ID family

Sea Change Recovery 2 LLC3 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.

• Sea Change

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
  • NPI 1265136758
  NPD tax ID
• Sea Change Recovery 2 LLC

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
  • NPI 1437853835
  NPD tax ID

Locations

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1730883224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HARBOR BLVD STE 140",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263912",
            "telephone_number": "949-244-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE CANDC2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035777",
            "telephone_number": "949-244-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CHANGE RECOVERY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "619-871-7345"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott L. Rosenzweig M.D. Inc.
• Gregory J. Scott, MA CCC-SLP
• Kenneth C Scott, PSY.D.
• Sea Change
• Sea Change Recovery 2 LLC
• Sea Change Santa Monica, L.P.
• Sea Change Santa Monica, LP
• Sea Change Santa Monica, LP (Sea Change Santa Monica)
• Karen Seade, MPT
• Natalie Seale

• Substance Use Disorder Rehabilitation Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.