MONROE OPERATIONS LLC NPI 1760995260

NPI Information

NPI: 1760995260
Provider Name: MONROE OPERATIONS, LLC

Doing Business As: NEWPORT ACADEMY-COSTA MESA

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 05D2036433

Address:
3189 PULLMAN ST
COSTA MESA, CA
ZIP 92626
Phone: (949) 205-5997
Get Directions

MONROE OPERATIONS, LLC is an adolescent and children mental health clinic center in Costa Mesa, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MONROE OPERATIONS, LLC NPI is 1760995260. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Academy-costa Mesa.

The provider's business location address is:

3189 PULLMAN ST
COSTA MESA, CA
ZIP 92626-320
Phone: (949) 205-5997
Fax: (615) 694-5202

The provider's authorized official is Jim Adams .
The authorized official title is Ceo and has the following contact phone number (949) 432-4622.

The CLIA number assigned to this NPI record is 05D2036433 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2017 and was last updated on 1/20/2022.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	300233DP	CALIFORNIA	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	300233DP	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300233DP	OTHER	CALIFORNIA	DAY TREATMENT & OUTPATIENT - ALCOHOL AND/OR OTHER DRUG SERVICES

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: 11/14/2023

NPI Synchronization or Removal

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