Organization Active NPI

Social Model Recovery Systems Inc

  • Substance Abuse Rehabilitation Facility
  • El Monte, CA
National Provider Identifier
1770197386
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOCIAL MODEL RECOVERY SYSTEMS INC
Practice address
3426 Cogswell Rd
El Monte, CA 91732-2785
Phone
(626) 453-3406
Fax
(626) 246-3433
NPI assigned
Sep 1, 2020
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Lynetta Hale, AMFT, LPT, MANPI 1801920285
Title
Senior Director of Clinical Service
Phone
(626) 332-3145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3426 Cogswell Rd
El Monte, CA 91732-2785

Mailing address

223 E Rowland St
Covina, CA 91723-3147
Phone (626) 332-3145

Other identifiers 1

IdentifierTypeStateIssuer
19ZPMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Social Model Recovery Systems 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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1770197386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233147",
            "telephone_number": "626-332-3145",
            "fax_number": "626-974-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 COGSWELL RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322785",
            "telephone_number": "626-453-3406",
            "fax_number": "626-246-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL MODEL RECOVERY SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LYNETTA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF CLINICAL SERVICE",
        "authorized_official_telephone_number": "626-332-3145",
        "authorized_official_credential": "AMFT, LPT, MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19ZP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.