New Dawn TMS Psychiatry

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NEW DAWN TMS PSYCHIATRY

Practice address

640 S San Vincente Blvd, Ste. 210
Los Angeles, CA 90048

Phone

(909) 378-8000

Fax

(855) 212-4696

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Mercille, RN

Title

Billing Credentialing Specialist

Phone

(314) 497-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metro NeuroHealth, LLC Other name

Electronic endpoints 1

Practitioners 1

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

• Amr Beltagui, M.D.

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1770897357
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1760090062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VINCENTE BLVD, STE. 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484654",
            "telephone_number": "909-378-8000",
            "fax_number": "855-212-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SAN VINCENTE BLVD, STE. 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "909-378-8000",
            "fax_number": "855-212-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN TMS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "MERCILLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-497-0500",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770897357",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@newdawntms.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "640 S San Vincente Blvd, Ste. 210",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Metro NeuroHealth, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.