MENTAL HEALTH AMERICA OF LOS ANGELES (NPI# 1942326871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942326871 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH AMERICA OF LOS ANGELES |
| Other Organization Name | PALMDALE DISCOVERY CENTER |
| Practice Address |
1609 E Palmdale Blvd Ste G Palmdale CA 93550-4881 |
| Mailing Address |
100 W Broadway Ste 5010 Long Beach CA 90802-4431 |
| Practice Telephone | 6619471595 |
| Practice Fax Number | 6615751682 |
| Mailing Telephone | 5622851330 |
| Mailing Fax Number | 5622633395 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-10-10 |
| Authorized Official Name | DR. DAVID PILON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5622851330 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Palmdale Discovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285198739 | Mental Health America of Los Angeles | Case Management | 1529 E Palmdale Blvd Ste 100&113, Palmdale, CA 93550-2028 | 2019-01-29 |
| 1245781632 | Mental Health America of Los Angeles | Case Management | 506 West Jackman St, Lancaster, CA 93534 | 2016-10-20 |
| 1235304809 | Mental Health America of Los Angeles | Community/Behavioral Health | 11905 S Central Ave Ste 303, Los Angeles, CA 90059-2836 | 2008-04-24 |
| 1386760213 | Mental Health America of Los Angeles | Community/Behavioral Health | 1955 Long Beach Blvd Ste 200, Long Beach, CA 90806-5501 | 2007-03-22 |
| 1225418916 | Mental Health America of Los Angeles | Community/Behavioral Health | 4510 Pacific Coast Highway, Suite 305 and 310, Long Beach, CA 90804-3279 | 2015-06-08 |
| 1053652172 | Mental Health America of Los Angeles | Respite Care | 2241 W Williams St, Suite B, Long Beach, CA 90810-3652 | 2013-03-14 |
| 1700126828 | Mental Health America of Los Angeles | Respite Care | 2241 W Williams St, Suite A, Long Beach, CA 90810-3652 | 2013-02-26 |
| 1104183573 | Mental Health America of Los Angeles | Community/Behavioral Health | 100 W Broadway, Suite 5005, Long Beach, CA 90802-4431 | 2012-04-23 |
| 1003138009 | Mental Health America of Los Angeles | Community/Behavioral Health | 100 W Broadway, Suite 5010, Long Beach, CA 90802-4431 | 2010-02-18 |
| 1104942044 | Mental Health America of Los Angeles | Community/Behavioral Health | 830 Atlantic Ave, Long Beach, CA 90813 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENTAL HEALTH AMERICA OF LOS ANGELES | 200 Pine Ave Ste 400, Long Beach, CA 90802-3039 |
| Street Address |
1609 E PALMDALE BLVD STE G |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295201069 | Kelsey Lynn Taylor | Rehabilitation Practitioner | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2018-10-19 |
| 1457848921 | Dyaln Thomas Donley | Rehabilitation Practitioner | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2018-04-19 |
| 1326541152 | Enrique Conchas | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2018-03-18 |
| 1043517113 | Alexis Bates Grubb | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2011-02-24 |
| 1720396187 | Anita M. Landin | Case Management | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2010-09-20 |
| 1487894283 | Paul Drake | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2009-03-06 |
| 1194972596 | Jennifer Barnard | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2008-08-27 |
| 1922255330 | Vanessa Garrison | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2008-08-27 |
| 1215184304 | Gerald Garcia | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2008-08-20 |
| 1922295716 | Christine E Smith | Case Manager/Care Coordinator | 1609 E Palmdale Blvd Ste G, Palmdale, CA 93550-4881 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178756 | Mckinley Children's Center | Community/Behavioral Health | 2231 E Palmdale Blvd, Palmdale, CA 93550-1326 | 2018-06-21 |
| 1942662234 | Stephanie Coleman Coffey | Community/Behavioral Health | 38722 11th St E, Apt. 73, Palmdale, CA 93550-2861 | 2016-03-24 |
| 1063825784 | Child and Family Guidance Center | Community/Behavioral Health | 37015 Goldenview Way, Palmdale, CA 93552-5348 | 2014-06-10 |
| 1376980557 | Rena Nicole Joyner | Community/Behavioral Health | 1240 E Avenue S, 151, Palmdale, CA 93550-6169 | 2013-05-29 |
| 1164771325 | Los Angeles Department of Mental Health | Community/Behavioral Health | 2323a East Palmdale Blvd., Palmdale, CA 93550 | 2012-09-04 |
| 1851554505 | Healthy Family Solutions | Community/Behavioral Health | 943 E Palmdale Blvd, Suite B, Palmdale, CA 93550-4711 | 2008-07-02 |
| 1063688067 | Atlantic Recovery Services | Community/Behavioral Health | 2137 E Avenue R, Palmdale, CA 93550-5415 | 2008-04-30 |
| 1346411402 | Atlantic Recovery Services | Community/Behavioral Health | 39150 10th St W, Palmdale, CA 93551-3755 | 2008-03-17 |
| 1871622498 | Optimist Boys' Home and Ranch, Inc. | Community/Behavioral Health | 520 W Palmdale Blvd Ste Def&g, Palmdale, CA 93551-4229 | 2007-03-02 |
| 1144840349 | Whole Life Pathways | Community/Behavioral Health | 37012 32nd St E, Palmdale, CA 93550-6674 | 2020-04-17 |
| Find all providers in PALMDALE | ||||
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| 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.