Organization Active NPI

Compassion for the Mind

  • Marriage & Family Therapist
  • Anaheim, CA
National Provider Identifier
1871283101
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COMPASSION FOR THE MIND
Practice address
211 S State College Blvd # 1057
Anaheim, CA 92806-4116
Phone
(661) 874-7851
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Nicole Segroves
Title
Practice Manager
Phone
(661) 874-7851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

211 S State College Blvd # 1057
Anaheim, CA 92806-4116

Mailing address

211 S State College Blvd # 1057
Anaheim, CA 92806-4116
Phone (661) 463-0493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301000251 CA Part B Supplier - Clinic/Group Practice 0042655904 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1871283101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S STATE COLLEGE BLVD # 1057",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064116",
            "telephone_number": "661-463-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S STATE COLLEGE BLVD # 1057",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064116",
            "telephone_number": "661-874-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION FOR THE MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "SEGROVES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "661-874-7851"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.