GRAB THE WHEEL KIDS (NPI# 1114495801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114495801 |
Entity Type | Organization |
Organization Name | GRAB THE WHEEL KIDS |
Practice Address |
2880 Atlantic Ave Ste 110 Long Beach CA 90806-1739 |
Mailing Address |
2300 Westridge Rd Los Angeles CA 90049-1229 |
Practice Telephone | 3105625258 |
Mailing Telephone | 3105625258 |
Enumeration Date | 2018-11-12 |
Last Update Date | 2018-11-12 |
Authorized Official Name | MR. BRYAN GEOFFREY ANDERSON (OWNER) |
Authorized Official Telephone | 3105625258 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Grab The Wheel Kids Anger Management/Social Skills | Doing Business As Name - Organization |
Street Address |
2880 ATLANTIC AVE STE 110 |
City | LONG BEACH |
State | CA |
Zip Code | 90806-1739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144874876 | Selam Sahle | Physician Assistant | 2880 Atlantic Ave Ste 110, Long Beach, CA 90806-1739 | 2019-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
Find all providers in zip 90806 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427136621 | Star View Behavioral Health, Inc. | Clinic/Center | 4500 E. Pacific Coast Highway, Suite 100, Long Beach, CA 90804-3233 | 2006-11-02 |
1124529466 | Advances In Mental Health & Addictions Treatment Ctr | Clinic/Center | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2018-02-22 |
1215108402 | Los Angeles County, Department of Mental Health | Clinic/Center | 240 E 20th St, Long Beach, CA 90806-5412 | 2008-03-17 |
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1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
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1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
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1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
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1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90806 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.