Advances in Mental Health and Addictions Treatment Inc
Organization Active NPI Clinical Psychologist · Long Beach, CA
NPI 1942529037 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1942529037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY22896 (CA)
- Legal business name
- ADVANCES IN MENTAL HEALTH AND ADDICTIONS TREATMENT INC
- Practice address
- 5199 E Pacific Coast Hwy
330N
Long Beach, CA 90804-3309 - Phone
- (562) 365-2020
- NPI assigned
- May 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Yvette Stepanoff
- Title
- Clinical Director
- Phone
- (562) 365-2020
Practitioners 10
-
Phillip Neri Aguilar, PMHNP
-
Michael Marino, LCSW
-
Reinald Allen Revilla, PMHNP
-
Benjamin A Stepanoff, PSY.D.
-
Melissa Addae Mensah, PMHNP-BC
-
Madeleine Kelly, LMFT
-
Paul Michael Remmele, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150602001263 | CA | Part B Supplier - Clinic/Group Practice | 3173844222 |
Receives reassigned benefits from 9 practitioners Practice locations: Huntington Beach, CA; Long Beach, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist |
103TB0200X | PSY22896 | CA | |
| Clinical Psychologist |
103TC0700X | PSY22896 | CA | Yes |
| Clinical Child & Adolescent Psychologist |
103TC2200X | PSY22896 | CA |
Addresses
Primary practice location
5199 E Pacific Coast Hwy
330N
Long Beach, CA 90804-3309
Mailing address
PO Box 5576
Los Alamitos, CA 90721-5576
Phone (562) 365-2020
Other practice location 1
18672 Florida St Ste 100
Huntington Beach, CA 92648-1925
Phone (714) 596-6400
Other providers in Long Beach, CA
- Advanced RX LB LLC
- Advanced Surgical Associates
- Advanced Women'S Health
- Advances in Mental Health & Addictions Treatment Ctr
- Advances in Mental Health &Addictions Treatment Center
- Advances in Mental Health and Addictions Treatment, Inc
- Antonio Reyes Advincula
- Aegis Treatment Centers, LLC
- Aevitus Cura Inc.
- Affiliated Partners Ipa
All providers in Long Beach, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.