NPIMap

Organization Active NPI

New Beginning Treatment Center Outpatient

  • Community/Behavioral Health Agency
  • Canoga Park, CA
National Provider Identifier
1891919569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7114 Issued in CA
Legal business name
NEW BEGINNING TREATMENT CENTER OUTPATIENT
Practice address
22030 Sherman Way Ste 115
Canoga Park, CA 91303-1889
Phone
(818) 340-0230
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chad Gillis
Title
Executive Director
Phone
(818) 340-0230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7114 CA Primary

Addresses

Primary practice location

22030 Sherman Way Ste 115
Canoga Park, CA 91303-1889

Mailing address

22030 Sherman Way Ste 115
Canoga Park, CA 91303-1889
Phone (818) 340-0230

Other identifiers 1

IdentifierTypeStateIssuer
7114OtherCAPROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891919569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY STE 115",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031889",
            "telephone_number": "818-340-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY STE 115",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031889",
            "telephone_number": "818-340-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNING TREATMENT CENTER OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-340-0230"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "7114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7114",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.