Department of Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34098 Issued in CA

Legal business name

DEPARTMENT OF MENTAL HEALTH

Practice address

42230 N. Lake Hughes Avenue
Lake Hughes, CA 93532

Phone

(661) 724-8803

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Terry Martindale

Title

Secretary III

Phone

(661) 940-4055

Specialties & licenses 1

Addresses

Practitioners 2

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

• Lizette Canales, LMFT

  • Marriage & Family Therapist
  • Lake Hughes, CA
  • NPI 1770845919
  NPD (past)
• Ana Valenzuela Moennich

  • Clinical Social Worker
  • Lake Hughes, CA
  • NPI 1679812523
  NPD (past)

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1790023554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42220 N. LAKE HUGHES ROAD",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "93532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42230 N. LAKE HUGHES AVENUE",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "93532",
            "telephone_number": "661-724-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "SECRETARY III",
        "authorized_official_telephone_number": "661-940-4055"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "34098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Rose Arcidiacono, RADT
• Lizette Canales, LMFT
• Christina Marie Dees, RADT
• FRF Acquisitions LLC
• FRF Management Service Organization, Inc.
• Austin Daniel Gillespie
• Robert Gonzales
• Michael Jay Harris, RADT

• Community/Behavioral Health Agency in Lake Hughes, CA
• Providers in Lake Hughes, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.