M2 CREATIVE (NPI# 1770985004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770985004 |
| Entity Type | Organization |
| Organization Name | M2 CREATIVE |
| Other Organization Name | MELROSE COMMUNITY HEALTH CLINIC |
| Practice Address |
6715 Melrose Ave Los Angeles CA 90038-3411 |
| Mailing Address |
22287 Mulholland Hwy Calabasas CA 91302-5157 |
| Practice Telephone | 8888702201 |
| Mailing Telephone | 8186359380 |
| Mailing Fax Number | 8183370365 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | CRAIG SMITH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8888702201 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
61164 | CA | Behavioral Health & Social Service Providers |
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | G61164 | CA | Residential Treatment Facilities |
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
G61164 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Melrose Community Health Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | M2 CREATIVE, LLC | 15 Sylvanus Wood Ln, Woburn, MA 01801 |
| Washington State Corporations | M2 CREATIVE, LLC | 5114 S Creston St, Seattle, WA 98178-2110 |
| Street Address |
6715 MELROSE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90038-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568869709 | Community Clinic and Health Care | Substance Abuse Rehabilitation Facility | 6715 Melrose Ave, Los Angeles, CA 90038-3411 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1134685613 | National Vision Inc | Technician/Technologist | 5818 Santa Monica Boulevard, Los Angeles, CA 90038 | 2019-02-20 |
| 1023530482 | Christopher Michael Colon | Case Manager/Care Coordinator | 1224 N Vine Street, Los Angeles, CA 90038 | 2017-07-07 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1033585534 | M2 Recovery, Inc. | Clinic/Center | 6715 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1457760522 | Lital Shvarts | Psychologist | 6311 Romaine St Ste 7329, Los Angeles, CA 90038 | 2014-08-04 |
| 1144658071 | Aaron Niemi | Acupuncturist | 1011 North Cole Ave, Los Angeles, CA 90038 | 2013-11-01 |
| 1013351139 | Suren Vardanyan | Non-emergency Medical Transport (VAN) | 1208 N Gower St, #201, Los Angeles, CA 90038 | 2013-04-19 |
| 1093912966 | Tina Robinson | Registered Nurse | 1224 Vine St., Los Angeles, CA 90038 | 2007-07-02 |
| Find all providers in zip 90038 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661331 | Dr Susan Shapiro Psychologist, Inc | Psychologist | 1647 S Hayworth Ave, Los Angeles, CA 90035-4513 | 2020-05-26 |
| 1548891443 | Catalyst Recovery LLC | Psychologist | 10250 Constellation Blvd Ste 100, Los Angeles, CA 90067-6272 | 2020-01-29 |
| 1386051027 | Richard Reed | Psychologist | 1017 W 50th St, Los Angeles, CA 90037-2923 | 2014-07-15 |
| 1720418510 | Bernadine Fried | Psychologist | 8033 W Sunset Blvd, Suite 3400, Los Angeles, CA 90046-2401 | 2013-11-15 |
| 1821332032 | Paul-roy Taylor | Psychologist | 619 S Olive St Ste 400, Los Angeles, CA 90014-1547 | 2012-11-12 |
| 1033423538 | Thercare | Psychologist | 11980 San Vicente Blvd., Suite 711, Los Angeles, CA 90049 | 2010-07-27 |
| 1992997597 | Pacific Forensic Psychology Associates, Inc | Psychologist | 616 Shatto Pl, Los Angeles, CA 90005-1301 | 2007-08-16 |
| 1568408284 | Eric Geffner | Psychologist | 1328 Westwood Blvd, Los Angeles, CA 90024-4941 | 2006-06-21 |
| 1184256109 | Prt Psychology, Inc. | Psychologist | 619 S Olive St Ste 400, Los Angeles, CA 90014-1547 | 2020-02-07 |
| 1689237935 | Nora Keener | Psychologist | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-04-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90038 |
Please comment or provide details below to improve the information on M2 CREATIVE.
| 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.