Organization Active NPI

Newport Mental Health Center LLC

  • Adult Mental Health Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1992525240
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEWPORT MENTAL HEALTH CENTER LLC
Practice address
1300 Quail St Ste 210
Newport Beach, CA 92660-2710
Phone
(323) 670-1111
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Priscilla Monique PortilloNPI 1346940301
Title
Owner
Phone
(323) 670-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1300 Quail St Ste 210
Newport Beach, CA 92660-2710

Mailing address

412 Olive Ave Ste 533
Huntington Beach, CA 92648-5142
Phone (323) 670-1111

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2334290Newport Mental Health Center LLC1300 Quail St Suite 210, Newport Beach, CA 92660Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Locations

1300 Quail St
Ste 210
Newport Beach, CA 92660
Phone (323) 670-1111

250 Newport Center Dr
Ste 201
Newport Beach, CA 92660

Practitioners & affiliated clinicians

Practitioners 1

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": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1992525240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 OLIVE AVE STE 533",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485142",
            "telephone_number": "323-670-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 QUAIL ST STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602710",
            "telephone_number": "323-670-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-670-1111"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.