Active NPI
Mind Oc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orange, CA
National Provider Identifier
1891537700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MIND OC
- Practice address
- 265 S Anita Dr Ste 104
Orange, CA 92868-3335 - Phone
- (949) 749-2500
- NPI assigned
- Jun 11, 2024
- Organization subpart
- Yes
- Parent organization
- MIND OC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Stanley Jordan
- Title
- Chief Financial Officer
- Phone
- (508) 340-6228
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
265 S Anita Dr Ste 104
Orange, CA 92868-3335
Mailing address
18650 Macarthur Blvd Ste 350
Irvine, CA 92612-1205
Phone (949) 749-2500
Other names 1
- AMHS Be Well Orange Crisis Stabilization Unit Adult
National Provider Directory
National Provider Directory- Tax ID family
- Mind Oc
- Part of
- Mind Oc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Irvine, CA
- NPI 1215685292
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orange, CA
- NPI 1770324758
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orange, CA
- NPI 1922840842
Locations
265 S Anita Dr
Ste 104
Orange, CA 92868
Phone (714) 410-3500
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Case Management Agency
- Irvine, CA
- NPI 1215685292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1891537700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18650 MACARTHUR BLVD STE 350",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121205",
"telephone_number": "949-749-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 S ANITA DR STE 104",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683335",
"telephone_number": "949-749-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND OC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIND OC",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "STANLEY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "508-340-6228"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMHS Be Well Orange Crisis Stabilization Unit Adult",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AMHS Be Well Orange Crisis Stabilization Unit Adult",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.