SIMPLE RECOVERY, INC (NPI# 1588070247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588070247 |
| Entity Type | Organization |
| Organization Name | SIMPLE RECOVERY, INC |
| Practice Address |
1901 Newport Blvd Suite 165 & 200 Costa Mesa CA 92627-2278 |
| Mailing Address |
20351 Sw Acacia St Fl 1 Newport Beach CA 92660-1527 |
| Practice Telephone | 9496463600 |
| Mailing Telephone | 9496463600 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | STEPHEN ODOM (CEO/CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 9496463600 |
| Authorized Official Credential | PHD, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801134564 | Simple Recovery, Inc | Community/Behavioral Health | 9531 Netherway Dr, Huntington Beach, CA 92646-6051 | 2013-01-30 |
| Street Address |
1901 NEWPORT BLVD SUITE 165 & 200 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386686210 | Meghan Michele Gonzalez | Dietitian, Registered | 1901 Newport Blvd, Suite 175, Costa Mesa, CA 92627-2278 | 2006-06-12 |
| 1073967071 | Brian Olsen | Marriage & Family Therapist | 1901 Newport Blvd, Costa Mesa, CA 92627-2278 | 2016-04-16 |
| 1033585351 | Miranda Jones | Social Worker | 1901 Newport Blvd, Costa Mesa, CA 92627-2278 | 2015-08-20 |
| 1346522323 | Gerald Brown | Marriage & Family Therapist | 1901 Newport Blvd, Suite 272, Costa Mesa, CA 92627 | 2011-09-15 |
| 1275831505 | Arthur Christopher Vigil Md Inc | Anesthesiology | 1901 Newport Blvd, #120, Costa Mesa, CA 92627-2278 | 2011-03-10 |
| 1093038044 | Daniel Turner Chiropractic | Chiropractor | 1901 Newport Blvd, Suite 179, Costa Mesa, CA 92627-2278 | 2010-03-04 |
| 1003138736 | Newport Surgical Partners LLC | Clinic/Center | 1901 Newport Blvd, Ste 120, Costa Mesa, CA 92627-2278 | 2010-02-22 |
| 1760652051 | Grecian Chiropractic and Wellness | Chiropractor | 1901 Newport Blvd, Suit 185, Costa Mesa, CA 92627-2278 | 2008-03-03 |
| 1104094697 | Luke L. Benoit | Specialist | 1901 Newport Blvd, Suite #350, Costa Mesa, CA 92627-2278 | 2008-02-18 |
| 1063600757 | Charles P Steinmann Md A Medical Corporation | Anesthesiology | 1901 Newport Blvd, 120, Costa Mesa, CA 92627-2278 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497305635 | Elite Care, Inc. | Clinic/Center | 697 Plumer St, Costa Mesa, CA 92627-2720 | 2019-09-19 |
| 1427608660 | Elite Care, Inc. | Clinic/Center | 1991 Anaheim Avenue, B, Costa Mesa, CA 92627-9262 | 2019-09-19 |
| 1154800134 | Asana Recovery | Clinic/Center | 1730 Pomona Ave Ste 3, Costa Mesa, CA 92627-3628 | 2018-08-09 |
| 1427545276 | Clear Life Recovery | Clinic/Center | 2822 Monterey Ave, Costa Mesa, CA 92626-5535 | 2018-04-17 |
| 1760995260 | Monroe Operations, LLC | Clinic/Center | 3189 Pullman St, Costa Mesa, CA 92626-3320 | 2017-11-07 |
| 1134653009 | Recovery Bay Rehabilitation Center | Clinic/Center | 1122 Bristol St, Costa Mesa, CA 92626-7972 | 2017-04-17 |
| 1790133346 | Sober Partners Waterfront Recovery | Clinic/Center | 1001 W 17th St Ste A, Costa Mesa, CA 92627-4512 | 2016-05-24 |
| 1477944908 | Elite Care, Inc. | Clinic/Center | 1991 Anaheim Ave Apt A, Costa Mesa, CA 92627-9305 | 2015-02-05 |
| 1669022703 | Elite Care, Inc. | Clinic/Center | 657 W 19th St, Costa Mesa, CA 92627-8600 | 2019-09-19 |
| 1689224826 | Elite Care, Inc. | Clinic/Center | 1991 Anaheim Avenue, C, Costa Mesa, CA 92627-9262 | 2019-09-19 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on SIMPLE RECOVERY, INC.
| 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.