Commonwealth Global

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

190809AN Issued in CA

Legal business name

COMMONWEALTH GLOBAL

Doing business as

Commonwealth Behavioral

Practice address

22231 Mulholland Hwy Ste 211
Calabasas, CA 91302-5179

Phone

(818) 651-4594

NPI assigned

Aug 31, 2016

Organization subpart

No

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

Authorized official

Name

Kirsten Amanda Wallace, CEO

Title

Chief Executive Office

Phone

(818) 651-4594

Specialties & licenses 3

Addresses

Other names 1

• Commonwealth Behavioral Doing business as

Locations

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1861948705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22231 MULHOLLAND HWY STE 211",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025179",
            "telephone_number": "818-651-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22231 MULHOLLAND HWY STE 211",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025179",
            "telephone_number": "818-651-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH GLOBAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "818-651-4594",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190809AN",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": "190808AN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": "190809AN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Cohen, ACSW
• Sagi Jacob Cohen, M.D.
• Madison Cole, AMFT
• Caroline R Collier
• Comforting Care Services
• Community Recovery
• Cara Conn
• Geovanna Contreras
• Sara Contreras
• Akira K Cook

• Addiction (Substance Use Disorder) Counselor in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.