Organization Active NPI

Mind Oc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, CA
National Provider Identifier
1891537700
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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 OCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mind Oc4 organizations share this tax ID, including this one
Part of
Mind Oc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.