Manifest Behavioral Health

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MANIFEST BEHAVIORAL HEALTH

Practice address

23297 S Pointe Dr
Laguna Hills, CA 92653-1491

Phone

(949) 280-8360

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Avdee

Title

Compliance Director

Phone

(949) 412-4477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1881404671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23297 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23297 S POINTE DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531491",
            "telephone_number": "949-280-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "AVDEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "949-412-4477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Malloy
• Mariya Doncheva Malone, MS, LMFT, LPCC
• Alma Manalo
• Al Shyste Manesh, DMD
• Charles C Manger III, M.D.
• Karen Lee Manna, AU.D.
• Robert George Manolakas, M.D.
• Hadi Mansoury, M.D.
• Gay Mantey
• Megan A Mar, PT DPT

• Adult Mental Health Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.