OUR VILLAGE (NPI# 1205370525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205370525 |
| Entity Type | Organization |
| Organization Name | OUR VILLAGE |
| Practice Address |
1444 Aviation Blvd Ste 102 Redondo Beach CA 90278-4001 |
| Practice Telephone | 3104691165 |
| Mailing Telephone | 3104691165 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | MONICA FYFE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3104691165 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 47541 | CA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Our Village Children's Academy, Inc. | 9314 Commerce Center St., Highlands Ranch, CO 80126 |
| Colorado Business Entities | Our Village Counseling, LLC | 2627 Redwing Rd, Ste 235, Fort Collins, CO 80526 |
| Colorado Business Entities | Our Village Daycare LLC | 4600 N 24th St Unit 248, Phoenix, AZ 85016-5379 |
| Oregon Corporations, Companies and Business Names | OUR VILLAGE FILMS, LLC | 2423 Benson Ln, Eugene, OR 97408 |
| Colorado Business Entities | Our Village Healing Center, LLC | 730 W Hampden Ave, Suite 110, Englewood, CO 80110 |
| North Carolina Corporations | Our Village LLC | 5301 Autumn Woods Dr, Greensboro, NC 27407-6326 |
| Oregon Corporations, Companies and Business Names | OUR VILLAGE OF MARION COUNTY | 5526 Waconda Rd Ne, SALEM OR |
| Washington State Corporations | OUR VILLAGE PRESCHOOL LLC | 17921 151st Way Ne, Woodinville, WA 98072-6208 |
| System for Award Management (SAM) Entities | OUR VILLAGE SERVICES LLC | 108b Vandenburgh Pl, Troy, NY 12180-6040 |
| Washington State Corporations | OUR VILLAGE THERAPY PLLC | 8201 164th Ave Ne Ste 200, Redmond, WA 98052-7615 |
| Street Address |
1444 AVIATION BLVD STE 102 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90278-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730619230 | Sabrina Santiago | Marriage & Family Therapist | 1444 Aviation Blvd Ste 102, Redondo Beach, CA 90278 | 2017-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
| 1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
| 1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
| 1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
| 1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
| 1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
| 1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
| 1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
| 1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
| 1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
| Find all providers in zip 90278 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841656824 | Children and Families, Inc. | Community/Behavioral Health | 1525 Aviation Blvd, #389, Redondo Beach, CA 90278-2805 | 2016-01-07 |
| 1134588197 | Connecting Mental Health & Education | Community/Behavioral Health | 901 N Pacific Coast Hwy Ste 200a, Redondo Beach, CA 90277-7702 | 2016-02-18 |
| 1982072195 | Clear Inc | Community/Behavioral Health | 201 Herondo St, Redondo Beach, CA 90277-2000 | 2015-09-03 |
| 1346632320 | Tameka Alexander | Community/Behavioral Health | 901 N Pacific Coast Hwy Ste 200, Redondo Beach, CA 90277-2162 | 2015-02-27 |
| 1770818080 | Behavior and Education Inc | Community/Behavioral Health | 1444 Aviation Blvd, Suite 103, Redondo Beach, CA 90278-4001 | 2009-10-05 |
| 1437360195 | Exodus Recovery Inc | Community/Behavioral Health | 923 S Catalina Ave, Redondo Beach, CA 90277-4718 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90278 |
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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.