Organization Active NPI

The Mental Health Collective, LLC

  • Psychiatric Residential Treatment Facility
  • Newport Beach, CA
National Provider Identifier
1942928015
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
THE MENTAL HEALTH COLLECTIVE, LLC
Practice address
1911 Kings Rd
Newport Beach, CA 92663-5004
Phone
(888) 717-9355
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Ian Roy
Title
Billing Director
Phone
(949) 446-6288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1911 Kings Rd
Newport Beach, CA 92663-5004

Mailing address

20377 SW Acacia St Ste 110
Newport Beach, CA 92660-0781

National Provider Directory

National Provider Directory
Tax ID family
The Mental Health Collective LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

20377 SW Acacia St
Ste 110
Newport Beach, CA 92660
Phone (714) 768-4601

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1942928015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 KINGS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635004",
            "telephone_number": "888-717-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL HEALTH COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "949-446-6288"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.