BEYOND CANCER FAMILY THERAPY INC (NPI# 1831710706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831710706 |
| Entity Type | Organization |
| Organization Name | BEYOND CANCER FAMILY THERAPY INC |
| Practice Address |
4082 S Cloverdale Ave Los Angeles CA 90008-1033 |
| Practice Telephone | 3102105230 |
| Mailing Telephone | 3102105230 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-02 |
| Authorized Official Name | MRS. MARY NMS MATHEW (CEO) |
| Authorized Official Telephone | 3102105230 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
4082 S CLOVERDALE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| 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 |
|---|---|---|---|---|
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1124640610 | Brothers Lcsw Inc | Clinic/Center | 617 S Olive St Ste 906, Los Angeles, CA 90014-1630 | 2020-05-07 |
| 1508494659 | Noah Hass-cohen Psyd Psychology, Inc. | Clinic/Center | 640 S San Vicente Blvd Ste 264, Los Angeles, CA 90048-4884 | 2020-04-01 |
| 1013438316 | 1334 Westwood, LLC | Clinic/Center | 1334 Westwood Blvd Ste 3a, Los Angeles, CA 90024-4951 | 2017-06-28 |
| 1770947525 | Dr Jeremy Martinez Md A Professional Corporation | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014 | 2016-04-07 |
| 1285008862 | Imedventures, LLC | Clinic/Center | 2477 Fletcher Dr, Suite C, Los Angeles, CA 90039-2801 | 2015-11-19 |
| 1295108272 | Hadassah Brain Center Inc. | Clinic/Center | 8631 W 3rd St Ste 225e, Los Angeles, CA 90048-5940 | 2015-11-12 |
| 1124496039 | Resilience Treatment Center | Clinic/Center | 1940 Century Park E, Suite 200, Los Angeles, CA 90067-1700 | 2015-09-09 |
| 1689040313 | Ceola Morgan | Clinic/Center | 2421 8th Ave, Los Angeles, CA 90018-1767 | 2015-08-17 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
Please comment or provide details below to improve the information on BEYOND CANCER FAMILY THERAPY 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.