[ { "id": 140, "lastName": "Lopez", "firstName": "Elaine", "middleName": "Margarita", "gender": "F", "npi": "1548562192", "taxonomy": "167G00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 140, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 149, "providerId": 140, "siteId": 20, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2029-06-30", "licenseNumber": "34486", "licenseType": "PTE", "serviceType": "MS", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T12:32:39.96", "providerDto": { "id": 140, "lastName": "Lopez", "firstName": "Elaine", "middleName": "Margarita", "gender": "F", "npi": "1548562192", "taxonomy": "167G00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 140, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 20, "planType": "MHP", "name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "effDate": "2022-07-01T00:00:00", "expDate": "2029-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "2531 W WOODLAND DR", "city": "ANAHEIM", "state": "CA", "zipCode": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "17", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [] } } ] }, { "id": 550, "lastName": "Lopez", "firstName": "Casie", "middleName": "Elizabeth", "gender": "F", "npi": "1992149264", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 592, "providerId": 550, "siteId": 25, "isPrimary": true, "effDate": "2024-07-01", "expDate": "2028-06-30", "licenseNumber": "LMFT52559", "licenseType": "MFT", "serviceType": "CI;IC;IH;MH", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T12:54:37.863", "providerDto": { "id": 550, "lastName": "Lopez", "firstName": "Casie", "middleName": "Elizabeth", "gender": "F", "npi": "1992149264", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 25, "planType": "MHP", "name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "effDate": "2024-07-01T00:00:00", "expDate": "2028-06-30T00:00:00", "taxonomy": "251S00000X", "address": "701 W KIMBERLY AVE", "address2": "STE 120", "city": "PLACENTIA", "state": "CA", "zipCode": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;ICC;IHB;MHS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Children and Youth\u00A0 Services (CYS) Wraparound provides intensive, community-based services to youth and families who are involved in the child welfare system, juvenile justice system and/or community mental heath system. Services include assessment, intensive case management services, intensive rehabilitative services, crisis intervention, and brief psychotherapy in effort to maintain youth's placement in a home-like setting, address mental health needs, and coordinate care across systems." } } ] }, { "id": 698, "lastName": "Lopez", "firstName": "Michelle", "middleName": "Emily", "gender": "F", "npi": "1447776133", "taxonomy": "106H00000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "B1;L1;T1", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 698, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 2269, "providerId": 698, "siteId": 26, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "LMFT119288", "licenseType": "MFT", "serviceType": "CI;IC;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-10-18T10:37:44.85", "providerDto": { "id": 698, "lastName": "Lopez", "firstName": "Michelle", "middleName": "Emily", "gender": "F", "npi": "1447776133", "taxonomy": "106H00000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "B1;L1;T1", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 698, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 26, "planType": "MHP", "name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "1120 W LA VETA AVE", "address2": "STE 660 & 470", "city": "ORANGE", "state": "CA", "zipCode": "92868-4231", "phone": "(714) 509-8210", "adacompliant": "Y", "tddTtyAvail": "Y", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;ICC;IHB;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "CHOC Project HEALTH FSP provides a broad range of outpatient mental health services for to patients who present with co-occurring medical and mental health conditions. Services include evaluation, therapy, IHBS and rehab services, medication monitoring, intensive care coordination, crisis intervention, and collateral services to parents and families. Referral for hospitalization or residential treatment, consultation to medical teams, schools and other agencies, private and public services and case management for those placed in hospitals or other 24-hour settings are also provided." }, "populationServedPd": "CYS;TAY", "specialtiesPd": "3A;8A;12A;1B;3C;6C;7C;10C;1D;1E;1F;1I;3I;2L;6M;7M;3P;7S;8S;4T;5T;17S;16S;7T;20S" } ] }, { "id": 755, "lastName": "Lopez", "firstName": "Georgi", "middleName": "Nicole", "gender": "F", "npi": "1417636176", "taxonomy": "104100000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "Y", "culturalCapabilitiesPd": "A3;A4;A5;B1;C1;E1;F1;H1;H2;J1;L1;L3;M1;M2;N1;O1;V1", "chipPd": "Y", "tgitrainingPd": "Y", "providerLanguages": [], "providerSites": [ { "id": 824, "providerId": 755, "siteId": 27, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "114778", "licenseType": "ACS", "serviceType": "CI;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T13:05:34.473", "providerDto": { "id": 755, "lastName": "Lopez", "firstName": "Georgi", "middleName": "Nicole", "gender": "F", "npi": "1417636176", "taxonomy": "104100000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "Y", "culturalCapabilitiesPd": "A3;A4;A5;B1;C1;E1;F1;H1;H2;J1;L1;L3;M1;M2;N1;O1;V1", "chipPd": "Y", "tgitrainingPd": "Y", "providerLanguages": [] }, "site": { "id": 27, "planType": "MHP", "name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "251B00000X", "address": "4000 W METROPOLITAN DR", "address2": "# 120", "city": "ORANGE", "state": "CA", "zipCode": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Older Adult Services PACT (Program of Assertive Community Treatment) Provides mental health services for older adults who are seriously mentally ill and who frequently utilize emergency rooms, psychiatric and medical hospitals or incarcerations. Services are provided in the clinic and in the field 1X a week or as needed. Services include psychiatric & Nursing assessment/evaluation, on-going medication services, individual therapy, family therapy, case management, crisis assessment and intervention, and peer counseling." }, "populationServedPd": "AOA", "specialtiesPd": "2E;3M;6A;3G;13C" } ] }, { "id": 795, "lastName": "Lopez", "firstName": "Liz", "middleName": "Hoang", "gender": "F", "npi": "1437240041", "taxonomy": "1041C0700X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 795, "code": "vie", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 870, "providerId": 795, "siteId": 28, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "26182", "licenseType": "CSW", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T13:07:43.583", "providerDto": { "id": 795, "lastName": "Lopez", "firstName": "Liz", "middleName": "Hoang", "gender": "F", "npi": "1437240041", "taxonomy": "1041C0700X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 795, "code": "vie", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 28, "planType": "MHP", "name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0850X ", "address": "27141 ALISO CREEK RD", "address2": "STE 100", "city": "ALISO VIEJO", "state": "CA", "zipCode": "92656-3358", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "Y", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "The AMHS South Clinic uses a team approach to provide comprehensive outpatient behavioral health services. The clinic provides psychiatric treatment, recovery, and support to adults (age 18 and up) with serious and persistent mental illness. Clients typically have a serious and persistent mental disorder, may have an additional co-occurring substance use disorder, have impairments in their ability to function in the community, and may have a history of recurring substantial functional impairments." } } ] }, { "id": 1749, "lastName": "Lopez", "firstName": "Carmelina", "middleName": "A", "gender": "F", "npi": "1053080408", "taxonomy": "164X00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1749, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 2068, "providerId": 1749, "siteId": 132, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2029-06-30", "licenseNumber": "259040", "licenseType": "LVN", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-05-31T09:36:47.047", "providerDto": { "id": 1749, "lastName": "Lopez", "firstName": "Carmelina", "middleName": "A", "gender": "F", "npi": "1053080408", "taxonomy": "164X00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1749, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 132, "planType": "MHP", "name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "effDate": "2022-07-01T00:00:00", "expDate": "2029-06-30T00:00:00", "taxonomy": "323P00000X", "address": "2026 W BEACON AVE", "city": "ANAHEIM", "state": "CA", "zipCode": "92804-4406", "phone": "(657) 276-7030", "adacompliant": "Y", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;CRT;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "The TREEhouse (“Total Recovery Enriching Experience”) North is one of Telecare’s crisis residential program in Orange County. It is a safe environment for individuals who are experiencing a behavioral health crisis and need additional support to avoid hospitalization, stabilize symptoms, and return to their previous level of functioning. The program provides voluntary, short-term services, typically lasting 7 to 14 days. The program also provides co-occurring services for people who are experiencing a behavioral health crisis and also have substance use issues. The program employs peer counselors as well as licensed professionals, and provides services in a culturally sensitive manner." } } ] }, { "id": 1783, "lastName": "Lopez Ramirez", "firstName": "Veronica", "gender": "F", "npi": "1144778200", "taxonomy": "363LP0808X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "A2", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 2106, "providerId": 1783, "siteId": 104, "isPrimary": true, "effDate": "2021-07-01", "expDate": "2026-12-31", "licenseNumber": "95004774", "licenseType": "NPA", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-06-06T11:22:26.817", "providerDto": { "id": 1783, "lastName": "Lopez Ramirez", "firstName": "Veronica", "gender": "F", "npi": "1144778200", "taxonomy": "363LP0808X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "A2", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 104, "planType": "MHP", "name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "effDate": "2021-07-01T00:00:00", "expDate": "2026-12-31T00:00:00", "taxonomy": "2084P0800X", "address": "1100 W STEWART DR", "city": "ORANGE", "state": "CA", "zipCode": "92868-3849", "phone": "(714) 633-9111", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "N", "facilityCode": "17", "serviceType": "MHS", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "OC Progressive Recovery Inc is a Psychiatry Clinic in Orange, California, specializing in the prevention, diagnosis, and treatment of various mental and emotional disorders. They offer diagnostic tests, medication, management and therapy for individuals and families." }, "populationServedPd": "CYS", "specialtiesPd": "3M" } ] }, { "id": 2560, "lastName": "Lopez", "firstName": "Stephanie", "middleName": "Tzompantzi", "gender": "F", "npi": "1942035886", "taxonomy": "104100000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2560, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 3138, "providerId": 2560, "siteId": 54, "isPrimary": true, "effDate": "2023-07-01", "expDate": "2028-06-30", "licenseNumber": "131629", "licenseType": "ACS", "serviceType": "CI;IC;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-09-24T14:25:33.94", "providerDto": { "id": 2560, "lastName": "Lopez", "firstName": "Stephanie", "middleName": "Tzompantzi", "gender": "F", "npi": "1942035886", "taxonomy": "104100000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2560, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 54, "planType": "MHP", "name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "effDate": "2023-07-01T00:00:00", "expDate": "2028-06-30T00:00:00", "taxonomy": "251S00000X", "address": "600 W SANTA ANA BLVD", "address2": "STE 600", "city": "SANTA ANA", "state": "CA", "zipCode": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Child Guidance Center clinics provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered children and adolescents, which include evaluation, therapy, medication monitoring, crisis intervention, and collateral services to parents and families. Referral for hospitalization or residential treatment, consultation to schools and other agencies, coordination with private and public services and case management for those placed in hospitals or other 24-hour settings are also provided." } } ] }, { "id": 3134, "lastName": "Lopez", "firstName": "Savannah", "gender": "F", "npi": "1164353280", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 3986, "providerId": 3134, "siteId": 42, "isPrimary": true, "effDate": "2025-07-01", "expDate": "2028-06-30", "licenseNumber": "162978", "licenseType": "AMF", "serviceType": "CI;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2026-06-19T12:47:33.63", "providerDto": { "id": 3134, "lastName": "Lopez", "firstName": "Savannah", "gender": "F", "npi": "1164353280", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 42, "planType": "MHP", "name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "effDate": "2025-07-01T00:00:00", "expDate": "2028-06-30T00:00:00", "taxonomy": "251S00000X", "address": "511 N BROOKHURST ST", "address2": "STE 200", "city": "ANAHEIM", "state": "CA", "zipCode": "92801-5229", "phone": "(714)780-0750", "adacompliant": "Y", "tddTtyAvail": "Y", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Provides recovery-oriented services for Medi-Cal eligible adults (18 and over) with a serious and persistent mental illness living in Orange County." } } ] }, { "id": 3310, "lastName": "Lopez", "firstName": "Amanda", "middleName": "Marie", "gender": "F", "npi": "1518535723", "taxonomy": "101YA0400X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "A2", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [], "providerSites": [ { "id": 4213, "providerId": 3310, "siteId": 178, "isPrimary": false, "effDate": "2025-07-01", "expDate": "2027-06-30", "licenseNumber": "17445", "licenseType": "SUR", "telehealthFlag": "B", "acceptNew": "N", "validFlag": "Y", "dbInsertDt": "2024-04-18T22:23:00.337", "providerDto": { "id": 3310, "lastName": "Lopez", "firstName": "Amanda", "middleName": "Marie", "gender": "F", "npi": "1518535723", "taxonomy": "101YA0400X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "A2", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [] }, "site": { "id": 178, "planType": "DMC", "name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "effDate": "2025-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QR0405X", "address": "23521 PASEO DE VALENCIA", "address2": "STE B5", "city": "LAGUNA HILLS", 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