ADVANCES IN MENTAL HEALTH & ADDICTIONS TREATMENT CTR (NPI# 1124529466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124529466 |
| Entity Type | Organization |
| Organization Name | ADVANCES IN MENTAL HEALTH & ADDICTIONS TREATMENT CTR |
| Practice Address |
5199 E Pacific Coast Hwy Ste 330n Long Beach CA 90804-3353 |
| Mailing Address |
Po Box 5576 Los Alamitos CA 90721-5576 |
| Practice Telephone | 5623652020 |
| Mailing Telephone | 5623652020 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BENJAMIN STEPANOFF (CEO) |
| Authorized Official Telephone | 5628102221 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18672 Florida St Ste 100, Huntington Beach, CA 926481925 | 7145966400 |
| Street Address |
5199 E PACIFIC COAST HWY STE 330N |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508830589 | Lilly I Kao | Psychiatry & Neurology | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2006-02-15 |
| 1770190480 | Miraminds Medical Aid | Clinic/Center | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2020-09-26 |
| 1003439878 | Corrine Julia Zavala | Marriage & Family Therapist | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2020-05-27 |
| 1285986729 | Jenna Samuels | Marriage & Family Therapist | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2012-10-08 |
| 1700134988 | Pamela Akwi Yunga | Nurse Practitioner | 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992012512 | Choices of Long Beach, Inc. | Clinic/Center | 774 Saint Louis Ave, Long Beach, CA 90804-4557 | 2010-09-02 |
| 1184930471 | Choices of Long Beach, Inc. | Clinic/Center | 556 Nebraska Ave, Unit A, Long Beach, CA 90802-1823 | 2010-08-24 |
| 1437358520 | Psychshield Corporation | Clinic/Center | 4000 Long Beach Blvd Ste 212, Long Beach, CA 90807-2617 | 2007-07-17 |
| 1881233575 | Beach Side Counseling Pllc | Clinic/Center | 811 Pacific Ave S Ste 7, Long Beach, WA 98631-3544 | 2019-12-30 |
| 1467992750 | Donna Ledet-willis | Clinic/Center | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2017-03-06 |
| 1881064715 | Wellness Psychiatry High Impact Therapy | Clinic/Center | 3505 Long Beach Blvd, Suite 2d, Long Beach, CA 90807-3907 | 2015-10-05 |
| 1720395346 | Choices of Long Beach, Inc. | Clinic/Center | 556 Nebraska Ave, Unit B, Long Beach, CA 90802-1823 | 2010-09-02 |
| 1487863221 | Special Service for Groups | Clinic/Center | 3530 Atlantic Ave, Suite 210, Long Beach, CA 90807-4569 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on ADVANCES IN MENTAL HEALTH & ADDICTIONS TREATMENT CTR.
| 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.