Organization Active NPI

Mindspace Recovery Center LLC.

  • Substance Abuse Rehabilitation Facility
  • North Hollywood, CA
National Provider Identifier
1891668398
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MINDSPACE RECOVERY CENTER LLC.
Practice address
10933 Camarillo St
North Hollywood, CA 91602-1381
Phone
(747) 257-6501
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Manuk Parsmyan, CDAC
Title
Chief Executive Officer
Phone
(747) 561-8063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

10933 Camarillo St
North Hollywood, CA 91602-1381

Mailing address

10933 Camarillo St
North Hollywood, CA 91602-1381
Phone (747) 257-6501

National Provider Directory

National Provider Directory

Locations

10933 Camarillo St
North Hollywood, CA 91602
Phone (747) 257-6501

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1891668398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10933 CAMARILLO ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021381",
            "telephone_number": "747-257-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10933 CAMARILLO ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021381",
            "telephone_number": "747-257-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPACE RECOVERY CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "PARSMYAN",
        "authorized_official_first_name": "MANUK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "747-561-8063",
        "authorized_official_credential": "CDAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.