The Malama Collective

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE MALAMA COLLECTIVE

Practice address

130 Centennial Way Ste a&D
Tustin, CA 92780-3751

Phone

(562) 858-6427

NPI assigned

Oct 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Holly O Han, PSYD, MFTNPI 1629163647

Title

Clinical Director

Phone

(562) 858-6427

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly O. Han, MFT

  • Mental Health Counselor
  • Westminster, CA
  • NPI 1629163647
  NPD Authorized official

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1750008751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTENNIAL WAY STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803751",
            "telephone_number": "562-858-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTENNIAL WAY STE A&D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803751",
            "telephone_number": "562-858-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MALAMA COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "562-858-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.