Active NPI
Social Model Recovery Systems Inc
- Substance Abuse Rehabilitation Facility
- El Monte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynetta Hale, AMFT, LPT, MA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19ZP | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Social Model Recovery Systems Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Covina, CA
- NPI 1497834089
-
- Community/Behavioral Health Agency
- Pasadena, CA
- NPI 1649545393
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.
-
- Marriage & Family Therapist
- Covina, CA
- NPI 1801920285
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
- Laura Marie Smith, FAMILY NP
- Leslie Neal Smith, COUNSELOR/ADDICTION
- Lisa Smith
- Myra Denice Smith, MS
- Social Model Recovery Systems (Bimini recovery home)
- Social Model Recovery Systems, Inc. (Omni Center)
- Social Model Recovery Systems, Inc. (Mid Valley Outpatient Services)
- Katie K Soe
- Nyun Nyun Soe
- Sole Proprietor
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.