NEW LIFE COMMUNITY MENTAL HEALTH CENTER (NPI# 1902336563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902336563 |
Entity Type | Organization |
Organization Name | NEW LIFE COMMUNITY MENTAL HEALTH CENTER |
Practice Address |
741 Atlantic Ave Long Beach CA 90813-4510 |
Practice Telephone | 5624327398 |
Practice Fax Number | 5624327399 |
Mailing Telephone | (562) 432-7398 |
Mailing Fax Number | 5624327399 |
Enumeration Date | 2017-06-15 |
Last Update Date | 2017-08-28 |
Authorized Official Name | SVETLANA CHIZHOV (ADMINISTRATOR) |
Authorized Official Telephone | 8187447255 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699316349 | New Life Community Mental Health Center | Clinic/Center | 1040 Elm Ave Ste 208, Long Beach, CA 90813-3266 | 2019-10-03 |
Street Address |
741 ATLANTIC AVE |
City | LONG BEACH |
State | CA |
Zip Code | 90813-4510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
Find all providers in zip 90813 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902428089 | Che Ajal Family Counseling Center Inc. | Clinic/Center | 250 W Ocean Blvd Apt 1201, Long Beach, CA 90802-7940 | 2020-05-12 |
1154337426 | Los Angeles County Department of Mental Health | Clinic/Center | 3205 N Lakewood Blvd, Long Beach, CA 90808-1733 | 2006-07-31 |
1427062504 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 6, Long Beach, CA 90806-2325 | 2006-07-27 |
1154342814 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 | 2006-07-21 |
1346726221 | Children's Institute, Inc. | Clinic/Center | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2018-07-13 |
1164945069 | Mireille Millet | Clinic/Center | 1950 E 5th St, Long Beach, CA 90802-2023 | 2017-07-23 |
1265960512 | Love and Light Couseling Services | Clinic/Center | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807 | 2017-05-31 |
1114300365 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 6, Long Beach, CA 90806-2325 | 2015-07-07 |
1629471529 | Family Mental Health | Clinic/Center | 126 E Park Ave, Long Beach, NY 11561-3510 | 2014-10-06 |
1811258288 | Telecare Corporation | Clinic/Center | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2012-06-01 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90813 |
Please comment or provide details below to improve the information on NEW LIFE COMMUNITY MENTAL HEALTH 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.