ADVANCES IN MENTAL HEALTH &ADDICTIONS TREATMENT CENTER (NPI# 1225302383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225302383 |
| Entity Type | Organization |
| Organization Name | ADVANCES IN MENTAL HEALTH &ADDICTIONS TREATMENT CENTER |
| Practice Address |
5199 E Pacific Coast Hwy Ste 208 Long Beach CA 90804-3388 |
| Practice Telephone | 5623652020 |
| Practice Fax Number | 5624983331 |
| Mailing Telephone | 5623652020 |
| Mailing Fax Number | 5624983331 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | DR. BENJAMIN A STEPANOFF (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5623652020 |
| Authorized Official Credential | PSYD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | CA | Behavioral Health & Social Service Providers | |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
CA | Behavioral Health & Social Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190736AP | CA | Ambulatory Health Care Facilities |
| Street Address |
5199 E PACIFIC COAST HWY STE 208 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255679783 | Lisa Jean Stevens | Marriage & Family Therapist | 5199 E Pacific Coast Hwy Ste 208, Long Beach, CA 90804-3388 | 2013-01-17 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383270 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 5861 Cherry Ave, Long Beach, CA 90805-4405 | 2018-04-10 |
| 1053784249 | Safe Refuge | Clinic/Center | 3111 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1225411796 | Safe Refuge | Clinic/Center | 3139 E 7th St, Long Beach, CA 90804-4932 | 2015-07-02 |
| 1518340082 | Safe Refuge | Clinic/Center | 3137-39 E 7th St, Long Beach, CA 90804-4932 | 2015-07-02 |
| 1962828491 | Safe Refuge | Clinic/Center | 1046 Redondo Ave, Long Beach, CA 90804-3927 | 2014-03-07 |
| 1447494380 | Serene Center, Inc. | Clinic/Center | 1215 E 4th St, Ste 102, Long Beach, CA 90802-7518 | 2009-04-22 |
| 1881855435 | Choices of Long Beach, Inc. | Clinic/Center | 2139 E 7th St, Long Beach, CA 90804-4503 | 2008-06-17 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| 1962621664 | Safe Refuge | Clinic/Center | 3125 East 7th Street, Long Beach, CA 90804-4932 | 2007-04-24 |
| 1265677975 | Circle of Help Foundation | Clinic/Center | 555 E Pacific Coast Hwy, Suite 105, Long Beach, CA 90806-5576 | 2008-12-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on ADVANCES IN MENTAL HEALTH &ADDICTIONS TREATMENT CENTER.
| 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.