IGNITE COLLECTIVE INC NPI 1205602794

NPI Information

  • NPI: 1205602794
  • Provider Name: IGNITE COLLECTIVE, INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 810 LAWRENCE DR STE 100
    NEWBURY PARK, CA
    ZIP 91320
  • Phone: (805) 500-6597

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NPI Details

IGNITE COLLECTIVE, INC is a mental health (including community mental health center) clinic center in Newbury Park, CA. IGNITE COLLECTIVE, INC NPI is 1205602794. The provider is registered as an organization entity type.

The provider's business location address is:

810 LAWRENCE DR STE 100
NEWBURY PARK, CA
ZIP 91320-615
Phone: (805) 500-6597

The provider's authorized official is Morgan Dias .
The authorized official title is Executive Director and has the following contact phone number (310) 243-6790.

The enumeration date for this NPI number is 11/27/2023 and was last updated on 1/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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