NPIMap

Organization Active NPI

Engage Treatment Program, Inc

  • Community/Behavioral Health Agency
  • Westlake Village, CA
National Provider Identifier
1801436019
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENGAGE TREATMENT PROGRAM, INC
Practice address
2625 Townsgate Rd Ste 210
Westlake Village, CA 91361-5754
Phone
(805) 497-0605
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Adelina Mehrazarin Brisbois, LMFT
Title
Owner
Phone
(949) 510-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2625 Townsgate Rd Ste 210
Westlake Village, CA 91361-5754

Mailing address

4607 Lakeview Canyon Rd
PMB 407
Westlake Village, CA 91361
Phone (805) 497-0605

National Provider Directory

National Provider Directory

Locations

660 Hampshire Rd
Ste 100
Westlake Village, CA 91361
Phone (805) 497-0605

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1801436019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD",
            "address_2": "PMB 407",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-497-0605",
            "fax_number": "805-371-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 210",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615754",
            "telephone_number": "805-497-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE TREATMENT PROGRAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "BRISBOIS",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_middle_name": "MEHRAZARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-510-5852",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

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