NPIMap

Organization Active NPI

Vortex Mental Health

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1841834694
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VORTEX MENTAL HEALTH
Practice address
1760 Termino Ave Ste 100
Long Beach, CA 90804-2182
Phone
(310) 552-0146
Fax
(310) 552-0185
NPI assigned
Nov 5, 2019
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Rick Jenkins, MDNPI 1275502825
Title
MD
Phone
(310) 552-0146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1760 Termino Ave Ste 100
Long Beach, CA 90804-2182

Mailing address

1760 Termino Ave Ste 100
Long Beach, CA 90804-2182
Phone (310) 552-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122002089 CA Part B Supplier - Clinic/Group Practice 1759716673 Receives reassigned benefits from 20 practitioners
Practice locations: Long Beach, CA; Beverly Hills, CA; Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

420 S Beverly Dr
Ste 211
Beverly Hills, CA 90212
Phone (310) 552-0146

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1841834694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042182",
            "telephone_number": "310-552-0146",
            "fax_number": "310-552-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042182",
            "telephone_number": "310-552-0146",
            "fax_number": "310-552-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORTEX MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-552-0146",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.