[ { "last_name": "Harlins", "first_name": "Janlisa", "middle_name": "Yvonne", "gender": "Female", "npi": "1558889899", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cervantes", "first_name": "Lizet", "gender": "Female", "npi": "1801583182", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Deserie", "gender": "Female", "npi": "1265122253", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hoang", "first_name": "Joseph", "gender": "Male", "npi": "1699402701", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "Unavailable", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Torres", "first_name": "Maritza", "middle_name": "", "gender": "Female", "npi": "1508482589", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guzman", "first_name": "Julieanna", "middle_name": "", "gender": "Female", "npi": "1477252310", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Andrea", "middle_name": "Guadalupe", "gender": "Female", "npi": "1285300319", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "13352", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Randol", "first_name": "Alejandra", "middle_name": "Garcia", "gender": "Female", "npi": "1669006961", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "128225", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ensinger", "first_name": "Sarah", "middle_name": "Faith", "gender": "Female", "npi": "1780391698", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reyes", "first_name": "Jessica", "middle_name": "Vanessa", "gender": "Female", "npi": "1225796717", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dondiego", "first_name": "Zu", "gender": "Male", "npi": "1215713227", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vazquez", "first_name": "Alondra", "gender": "Female", "npi": "1093291924", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "161756", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Beckman", "first_name": "Chad", "middle_name": "Wayne", "gender": "Male", "npi": "1396862710", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "42396", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Pham", "first_name": "Vincent", "middle_name": "La", "gender": "Male", "npi": "1295464899", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116732", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tapia", "first_name": "Sergio", "suffix": "Jr.", "gender": "Male", "npi": "1407542772", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cortes-Avila", "first_name": "Alexandra", "gender": "Female", "npi": "1881380061", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Portillo", "first_name": "Jennie", "middle_name": "Isaura", "gender": "Female", "npi": "1255067658", "taxonomy": "101Y00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13621", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Demman", "first_name": "Christian", "middle_name": "Anthony", "gender": "Male", "npi": "1194427971", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "137789", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Beltran", "first_name": "Erika", "middle_name": "Michelle", "gender": "Female", "npi": "1063507457", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "69900", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aguilar", "first_name": "Shelly", "gender": "Female", "npi": "1093239436", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP22945", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP22945", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" } ] }, { "last_name": "Du", "first_name": "Lianjie", "gender": "Male", "npi": "1255331385", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" }, { "language": "Cantonese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A84426", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A84426", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A84426", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Maldonado", "first_name": "Ricardo", "gender": "Male", "npi": "1992980155", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "O'Malley", "first_name": "Sean", "gender": "Male", "npi": "1306410923", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Steele", "first_name": "Amanda", "gender": "Female", "npi": "1437643111", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "72299", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "72299", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" } ] }, { "last_name": "Yowell", "first_name": "Shannon", "middle_name": "Casey", "gender": "Female", "npi": "1346555265", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "76679", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "76679", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" } ] }, { "last_name": "Oberhauser", "first_name": "Sarah", "middle_name": "Elizabeth", "gender": "Female", "npi": "1043803794", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "129001", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "William", "middle_name": "Daniel", "gender": "Male", "npi": "1376713057", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Pacific Asian,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSPBUCKL", "license_type": "Peer Support Specialist", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Socialization Groups,Strengths-Based Care,Stress Management" } ] }, { "last_name": "Mata", "first_name": "James", "gender": "Male", "npi": "1891234027", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Collaborative Court Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 NORTH BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Boyd", "first_name": "Harold", "middle_name": "Anthony", "gender": "Male", "npi": "1548743396", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Stoneking", "first_name": "Leanne", "middle_name": "Michell", "gender": "Female", "npi": "1336320449", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,LGBTQ+,Middle Eastern,Native American,Veterans,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A88067", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education, Management, and Support,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Long", "first_name": "Diane", "gender": "Female", "npi": "1699123232", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Physically Disabled", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Collaborative Court Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 NORTH BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chavez", "first_name": "Jesi", "middle_name": "Rose", "gender": "Female", "npi": "1568769438", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Hearing Impaired,HIV/AIDS,Justice Involved,Iranian,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese,Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Older Adults,Chicano American,European-American,Gangs,HIV/AIDS,Iranian,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Native American,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "100061", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "Adults,Adults/Older Adults,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Addiction,Adolescent,Anxiety Disorders,Aging,Anger Management,,Applied Behavioral Analysis (ABA),Asian and Pacific Islander Community,Assertive Community Treatment (ACT),Attention Deficit Hyperactivity Disorder (ADHD),Board Certified,CPR/First Aid Certified,Dialectical Behavior Therapy (DBT),Criminal Justice,Stress Management,Crisis Intervention Services,Critical Incident Assessment,Depressive Disorders,Developmental and Behavioral Pediatrics,Women's Issues,Wellness Recovery Action Plan (WRAP),Vocational/Educational Support,Trauma Informed Care,Veteran's/ Military Lifestyle Issues,Transgender, Gender Diverse, and Intersex (TGI)" } ] }, { "last_name": "Stone", "first_name": "Ashley", "middle_name": "Rochelle", "gender": "Female", "npi": "1902540628", "taxonomy": "225400000X;390200000X", "taxonomy_description": "Rehabilitation Practitioner,Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rose", "first_name": "Marion", "middle_name": "Nicole Marie", "gender": "Female", "npi": "1013635747", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156895", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rey", "first_name": "Alfonso", "middle_name": "", "gender": "Male", "npi": "1053806034", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sneed", "first_name": "Erin", "middle_name": "Leianne", "gender": "Female", "npi": "1770138539", "taxonomy": "363LP0808X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95013938", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Martinez", "first_name": "Rosie", "middle_name": "N/A", "gender": "Female", "npi": "1851883920", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Amos", "first_name": "Jennifer", "middle_name": "", "gender": "Female", "npi": "1043761000", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP95009983", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Taing", "first_name": "Felicia", "middle_name": "Tara", "gender": "Female", "npi": "1881189264", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "111926", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Garcia", "first_name": "Daisy", "middle_name": "Guadalupe", "gender": "Female", "npi": "1770256893", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Azuela", "first_name": "Lauren", "middle_name": "Yvonne", "gender": "Female", "npi": "1487152054", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP95013110", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Fischer", "first_name": "Lori", "gender": "Female", "npi": "1588121610", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Richey", "first_name": "Mary", "gender": "Female", "npi": "1639610694", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Kaitlin", "middle_name": "Christina", "gender": "Female", "npi": "1255066528", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132068", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Calloway ", "first_name": "Lei", "middle_name": "Portugal", "gender": "Female", "npi": "1154647170", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Aranda", "first_name": "Alma", "middle_name": "Moreno", "gender": "Female", "npi": "1992031843", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "31520", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Munroe", "first_name": "Michelle", "middle_name": "Jeanette", "gender": "Female", "npi": "1154660470", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT106920", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Burdgick", "first_name": "Amanda", "middle_name": "Marie Martin", "gender": "Female", "npi": "1245839893", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117189", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Brenda", "gender": "Female", "npi": "1780291534", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121147", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mireles", "first_name": "Denisse", "gender": "Female", "npi": "1831791920", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153367", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hughes", "first_name": "Noel", "middle_name": "Christine", "gender": "Female", "npi": "1235738881", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Andrews", "first_name": "Michael", "middle_name": "Josef", "gender": "Male", "npi": "1821746413", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSVAQPYR", "license_type": "Peer Support Specialist", "service_type": "Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Gebrehiwot", "first_name": "Micael", "middle_name": "Sium", "gender": "Male", "npi": "1356473631", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Elaine", "middle_name": "Margarita", "gender": "Female", "npi": "1548562192", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "34486", "license_type": "Psychiatric Technicians", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Herrera", "first_name": "Rebekah", "middle_name": "Sierra Leona", "gender": "Female", "npi": "1235878331", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145634", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "House", "first_name": "Lucas", "middle_name": "", "gender": "Male", "npi": "1679215420", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez", "first_name": "Alexa", "middle_name": "Belbeht", "gender": "Female", "npi": "1437695046", "taxonomy": "171M00000X", "taxonomy_description": "Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pickart", "first_name": "Caitlin", "middle_name": "Cahill", "gender": "Female", "npi": "1275657157", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Older Adults,Chicano American,European-American,Gangs,HIV/AIDS,Iranian,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Native American,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A88876", "license_type": "Physician", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "Adults,Older Adults", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Addiction,Adolescent,Anxiety Disorders,Aging,Anger Management,,Applied Behavioral Analysis (ABA),Asian and Pacific Islander Community,Assertive Community Treatment (ACT),Attention Deficit Hyperactivity Disorder (ADHD),Board Certified,CPR/First Aid Certified,Dialectical Behavior Therapy (DBT),Criminal Justice,Stress Management,Crisis Intervention Services,Critical Incident Assessment,Depressive Disorders,Developmental and Behavioral Pediatrics,Women's Issues,Wellness Recovery Action Plan (WRAP),Vocational/Educational Support,Trauma Informed Care,Veteran's/ Military Lifestyle Issues,Transgender, Gender Diverse, and Intersex (TGI)" } ] }, { "last_name": "Ramirez", "first_name": "Veronica", "gender": "Female", "npi": "1861978173", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Older Adults,Chicano American,European-American,Gangs,HIV/AIDS,Iranian,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Native American,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "105467", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "Adults,Older Adults", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Addiction,Adolescent,Anxiety Disorders,Aging,Anger Management,,Applied Behavioral Analysis (ABA),Asian and Pacific Islander Community,Assertive Community Treatment (ACT),Attention Deficit Hyperactivity Disorder (ADHD),Board Certified,CPR/First Aid Certified,Dialectical Behavior Therapy (DBT),Criminal Justice,Stress Management,Crisis Intervention Services,Critical Incident Assessment,Depressive Disorders,Developmental and Behavioral Pediatrics,Women's Issues,Wellness Recovery Action Plan (WRAP),Vocational/Educational Support,Trauma Informed Care,Veteran's/ Military Lifestyle Issues,Transgender, Gender Diverse, and Intersex (TGI)" } ] }, { "last_name": "Raya", "first_name": "Mona", "gender": "Female", "npi": "1790357911", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Escoboza-Henry", "first_name": "Anastacia", "middle_name": "Lynn", "gender": "Female", "npi": "1437874963", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "114337", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ferguson", "first_name": "Emmet", "gender": "Male", "npi": "1124713318", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Unavailable", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Contreras", "first_name": "Maribel", "gender": "Female", "npi": "1255096871", "taxonomy": "172V00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Reddy", "first_name": "Ravita", "middle_name": "Purmandla", "gender": "Female", "npi": "1225122039", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Hindi", "fluency": "Fluent" }, { "language": "Urdu", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A85458", "license_type": "Physician", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A85458", "license_type": "Physician", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guida", "first_name": "Olivia", "middle_name": "Joy", "gender": "Female", "npi": "1528453172", "taxonomy": "163WP0807X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RN95047727", "license_type": "Nurse - RN, LPN, NA", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RN95047727", "license_type": "Nurse - RN, LPN, NA", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RN95047727", "license_type": "Nurse - RN, LPN, NA", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barragan", "first_name": "Maribel", "gender": "Female", "npi": "1790049260", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT123849", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth,Transitional Aged Youth,Adolescents", "specialties": "Seeking Safety,Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care,Eye Movement Desensitization and Reprocessing" } ] }, { "last_name": "Magana", "first_name": "Jeannette", "gender": "Female", "npi": "1275077166", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121595", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care" } ] }, { "last_name": "Khan", "first_name": "Amber", "gender": "Female", "npi": "1003291709", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "107236", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW107236", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW107236", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Armendariz", "first_name": "Eduardo", "middle_name": "Alonso", "gender": "Male", "npi": "1720243033", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Clark", "first_name": "Diane", "gender": "Female", "npi": "1164832887", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Leticia", "gender": "Female", "npi": "1144862244", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jimenez", "first_name": "Maria Elena", "gender": "Female", "npi": "1427488634", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW27424", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortega Quinones", "first_name": "Yesenia", "gender": "Female", "npi": "1821657560", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Yamasaki", "first_name": "Nina", "middle_name": "Marie", "gender": "Female", "npi": "1750576831", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diggles", "first_name": "Kimberly", "middle_name": "Ruth", "gender": "Female", "npi": "1043598469", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT93650", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT93650", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT93650", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Paz Calderon", "first_name": "Daniela", "gender": "Female", "npi": "1922763697", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "127682", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "King", "first_name": "Maiko", "middle_name": "Sylvia", "gender": "Female", "npi": "1033289186", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Geriatric Issues,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT111211", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Trauma Informed Care,Parent-Child Interaction Therapy (PCIT),Eye Movement Desensitization and Reprocessing" }, { "contract_effective_date": "2022-06-01", "contract_expiration_date": "2027-07-31", "license_number": "MFT111211", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Trauma Informed Care,Parent-Child Interaction Therapy (PCIT),Eye Movement Desensitization and Reprocessing" } ] }, { "last_name": "Mcclung", "first_name": "Carolyn", "middle_name": "Anna", "gender": "Female", "npi": "1235618315", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LSW101758", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Edith", "middle_name": "Becerra", "gender": "Female", "npi": "1508302837", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124375", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tesfamariam", "first_name": "Marta", "gender": "Female", "npi": "1669636221", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Geriatric Issues,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ACSW108601", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Trauma Informed Care,Parent-Child Interaction Therapy (PCIT)" } ] }, { "last_name": "Webb", "first_name": "Laura", "middle_name": "Elizabeth", "gender": "Female", "npi": "1366876682", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "111862", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Silva", "first_name": "Jheri", "gender": "Female", "npi": "1922718253", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth,Foster Home Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153827", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychoeducational Groups,Solution Focused Therapy,Strengths-Based Care,Case Management,Depressive Disorders" } ] }, { "last_name": "Cole", "first_name": "Kaleen", "middle_name": "Pearl", "gender": "Female", "npi": "1811477144", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117719", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vallin", "first_name": "Ivonne", "gender": "Female", "npi": "1649053786", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT122061", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barrientes", "first_name": "Victoria", "middle_name": "Bernadette", "gender": "Female", "npi": "1992285167", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mendoza", "first_name": "Jorge", "gender": "Male", "npi": "1134464860", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Avila", "first_name": "Lilian", "middle_name": "Yajaira", "gender": "Female", "npi": "1104256320", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "115221", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Espinoza", "first_name": "Marsha", "gender": "Female", "npi": "1154824241", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortega", "first_name": "Rose", "gender": "Female", "npi": "1194848846", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Estrada", "first_name": "Yvette", "gender": "Female", "npi": "1679803860", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Deleon", "first_name": "Silvia", "middle_name": "Janet", "gender": "Female", "npi": "1063535607", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Figueroa", "first_name": "Alejandro", "middle_name": "Miguel", "gender": "Male", "npi": "1376280875", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Correa", "first_name": "Wendy", "gender": "Female", "npi": "1952856437", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rich", "first_name": "Claudia", "middle_name": "Louise", "gender": "Female", "npi": "1093803512", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "37988", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Senterfitt", "first_name": "Karen", "gender": "Female", "npi": "1720530371", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guerrero", "first_name": "Josue", "gender": "Male", "npi": "1487144002", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Luis", "middle_name": "Antonio", "gender": "Male", "npi": "1144739277", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "128714", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Ayllon", "first_name": "Mariella", "middle_name": "Isabel", "gender": "Female", "npi": "1427407642", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aguirre", "first_name": "Jenessa", "gender": "Female", "npi": "1720484124", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kirazli", "first_name": "Christine", "middle_name": "Molina", "gender": "Female", "npi": "1225507536", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Avila", "first_name": "Christian", "middle_name": "Rodolfo", "gender": "Male", "npi": "1093291064", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Multicultural,Multilingual,Multiracial,Native American,Pacific Asian,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Victims of Abuse,Visually Impaired", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "112668", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Community Education and Outreach,Psychodynamic Therapy,Co-Occurring Disorders,Psychoeducational Groups,Socialization Groups,Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Depressive Disorders,Family Therapy,Juvenile Justice,LGBTQ+,Obsessive Compulsive Disorders and Related Disorders,Wellness Recovery Action Plan (WRAP),Suicide Assessment and Prevention,Addiction,Gender Dysphoria,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Foster Care,Individual Therapy,Parenting Skills,Recovery Based Treatment Planning,School Based,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Child Development,Gestalt Therapy,Human Trafficking,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Domestic Violence Treatment,Grief & Bereavement,LPS 5150/5585 Designated Staff,Men's Issues,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Interpersonal Therapy,Mindfulness,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care,Phobias" } ] }, { "last_name": "Lopez", "first_name": "Eduardo", "gender": "Male", "npi": "1336794056", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Villa", "first_name": "Laura", "middle_name": "Leticia", "gender": "Female", "npi": "1467948166", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Allingham", "first_name": "Tami", "middle_name": "Christine", "gender": "Female", "npi": "1104290055", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132739", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Perinatal,Adults/Older Adults", "specialties": "Anger Management,Adoption" } ] }, { "last_name": "Peratt", "first_name": "Kwitka", "middle_name": "Durana", "gender": "Female", "npi": "1770723553", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A106788", "license_type": "Physician", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Park", "first_name": "Paul", "gender": "Male", "npi": "1932616034", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "141218", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Flores", "first_name": "Joanna", "middle_name": "Josephine", "gender": "Female", "npi": "1356750202", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT113106", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Buchert", "first_name": "Stephanie", "middle_name": "Laurence", "gender": "Female", "npi": "1134204027", "taxonomy": "2084P0804X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "French", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A82087", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A82087", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Tania", "middle_name": "Ivette", "gender": "Female", "npi": "1669020053", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132593", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Blanchard", "first_name": "Taylor", "middle_name": "Marye", "gender": "Female", "npi": "1821719683", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135778", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Perinatal,Adults/Older Adults", "specialties": "Anger Management,Adoption" } ] }, { "last_name": "Leung", "first_name": "Lawrence", "middle_name": "Ginwung", "gender": "Male", "npi": "1942724695", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Cantonese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW94981", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Weir", "first_name": "Amy", "middle_name": "Elizabeth", "gender": "Female", "npi": "1740606664", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PSY30235", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Stilwell", "first_name": "Sarah", "middle_name": "Elizabeth", "gender": "Female", "npi": "1093489346", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT145686", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Garcia", "first_name": "Deborah", "middle_name": "Ofelia", "gender": "Female", "npi": "1427693696", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156233", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Truong", "first_name": "Tracy", "gender": "Female", "npi": "1952960189", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PSY35359", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Alvarado", "first_name": "Rebecca", "middle_name": "Lynette", "gender": "Female", "npi": "1245771088", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT125822", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Godoy-Orantes", "first_name": "Andrea", "middle_name": "Isabel", "gender": "Female", "npi": "1093191231", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "125823", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Jacobson", "first_name": "Ilyana", "middle_name": "Margarita", "gender": "Female", "npi": "1184717894", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "24487", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Johnson", "first_name": "Cynthia", "middle_name": "", "gender": "Female", "npi": "1356621510", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "91069", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "McCrea", "first_name": "Denisse", "gender": "Female", "npi": "1346686946", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "29770", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Ochoa", "first_name": "Rodrigo", "gender": "Male", "npi": "1952726135", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "110315", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Chavez", "first_name": "Lizette", "gender": "Female", "npi": "1053769521", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2018-07-01", "contract_expiration_date": "2026-06-30", "license_number": "94028738", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Gutierrez", "first_name": "Liz", "middle_name": "Beth", "gender": "Female", "npi": "1679054688", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "120959", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Huerta", "first_name": "Cindy", "middle_name": "Laura", "gender": "Female", "npi": "1811515174", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "104460", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Diaz", "first_name": "Yanete", "gender": "Female", "npi": "1023750148", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "111204", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Sison", "first_name": "Michelle", "middle_name": "Del Rosario", "gender": "Female", "npi": "1467009084", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95015211", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95015211", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Markle", "first_name": "Lily", "middle_name": "Reve", "gender": "Female", "npi": "1558075127", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145607", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Lazcano", "first_name": "Alison", "middle_name": "Sue", "gender": "Female", "npi": "1467152165", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "138050", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Ahumada", "first_name": "Rocio", "gender": "Female", "npi": "1528769742", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "157735", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ventura", "first_name": "Brenda", "gender": "Female", "npi": "1881213460", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "89702", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Vasquez Quisberth", "first_name": "Jhicel", "middle_name": "Katherin", "gender": "Female", "npi": "1255908927", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "146367", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Park", "first_name": "Julie", "gender": "Female", "npi": "1225539109", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124631", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Nelson", "first_name": "Katie", "middle_name": "Nicole", "gender": "Female", "npi": "1992169551", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135115", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Stanford-Maffey", "first_name": "Rachel", "middle_name": "Janell", "gender": "Female", "npi": "1659754653", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116040", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Moreno", "first_name": "Reyna", "gender": "Female", "npi": "1558981738", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "134173", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Ledezma", "first_name": "Wendy", "middle_name": "Chavez", "gender": "Female", "npi": "1578079794", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135407", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,LGBTQ+,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Brito", "first_name": "Giovanna", "gender": "Female", "npi": "1568048882", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "146365", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Le", "first_name": "Han", "middle_name": "Ngoc", "gender": "Female", "npi": "1639510514", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "28921", "license_type": "Psychologist - PHD-Level", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Zuniga", "first_name": "Jolvina", "middle_name": "Ashlen", "gender": "Female", "npi": "1790153690", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "32876", "license_type": "Psychologist - PHD-Level", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Peregrino", "first_name": "Karla", "gender": "Female", "npi": "1750806956", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "139118", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Harmon", "first_name": "Shirley", "gender": "Female", "npi": "1104859982", "taxonomy": "103TC0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "20198", "license_type": "Psychologist - PHD-Level", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Myers", "first_name": "Chelyse", "gender": "Female", "npi": "1780159418", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "19674", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Zamora", "first_name": "Monica", "middle_name": "Andrea", "gender": "Female", "npi": "1992106546", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "102546", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Ibarra Escalera Neri", "first_name": "Ramona", "gender": "Female", "npi": "1134666837", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132278", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Crook", "first_name": "Jennifer", "middle_name": "Elizabeth", "gender": "Female", "npi": "1295309912", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95946", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Bormand", "first_name": "Tara", "gender": "Female", "npi": "1730744822", "taxonomy": "101YM0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo MHSA", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perusse", "first_name": "Michelle", "middle_name": "Nicole", "gender": "Female", "npi": "1164073706", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "ASW97586", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Catvy", "middle_name": "Ngoc", "gender": "Female", "npi": "1770605156", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "NP95016651", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "English", "first_name": "Sarah", "middle_name": "Ann", "gender": "Female", "npi": "1942637707", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "LCSW120510", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kim", "first_name": "Sung Hye", "gender": "Female", "npi": "1588712558", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adoptees,Adults,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Co-Occurring Disorders,Dual Diagnosis,European-American,HIV/AIDS,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Multicultural,Multilingual,Multiracial,Native American,Older Adults,Pacific Asian,Physically Disabled,Refugee,Veterans,Victims of Abuse,Vietnamese,Visually Impaired", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A77748", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Depressive Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Medication Education and Support,Personality Disorders,Mood Disorders,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Wee", "first_name": "Leon", "middle_name": "Lim", "gender": "Male", "npi": "1275589640", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A62838", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Manzano", "first_name": "Nayeli", "gender": "Female", "npi": "1831777135", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "152778", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hamano", "first_name": "Shoko", "gender": "Female", "npi": "1437804911", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Japanese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "105719", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Buckingham", "first_name": "Anita", "middle_name": "Sambrano", "gender": "Female", "npi": "1922665983", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "136488", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Herrera", "first_name": "Jaime", "middle_name": "Lucio", "gender": "Male", "npi": "1720735731", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95019147", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Santiago", "first_name": "Viviana", "gender": "Female", "npi": "1417508797", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "113218", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez", "first_name": "Emmanuel", "gender": "Male", "npi": "1225674070", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Keller", "first_name": "Cynthia", "gender": "Female", "npi": "1801984794", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Borrero", "first_name": "Elliot", "middle_name": "Luis", "gender": "Male", "npi": "1700093275", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chavez", "first_name": "Nora", "gender": "Female", "npi": "1861580508", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cisneros", "first_name": "Claudia", "middle_name": "Ivette", "gender": "Female", "npi": "1437660552", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guier", "first_name": "Tracie", "gender": "Female", "npi": "1780126482", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Moreno", "first_name": "Yolanda", "gender": "Female", "npi": "1053715227", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "LGBTQ+,Teens", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSVDOMUQ", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Children/Youth", "specialties": "Adolescent,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders," } ] }, { "last_name": "Alonso", "first_name": "Peter", "gender": "Male", "npi": "1255062436", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Navarrete", "first_name": "Alejandrina", "middle_name": "Viramontes", "gender": "Female", "npi": "1174612196", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ruiz", "first_name": "Christopher", "gender": "Male", "npi": "1164007522", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vega", "first_name": "Cynthia", "gender": "Female", "npi": "1730693771", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rubio", "first_name": "Sergio", "gender": "Male", "npi": "1831685734", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Elguera", "first_name": "Kimberly", "gender": "Female", "npi": "1609503697", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mullally", "first_name": "Laurel", "middle_name": "Jill", "gender": "Female", "npi": "1750500104", "taxonomy": "363LF0000X", "taxonomy_description": "Nurse Practitioner Family", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP12081", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Crisis Intervention Services,Depressive Disorders,Obsessive Compulsive Disorders and Related Disorders,Anxiety Disorders" } ] }, { "last_name": "Motet-Grigoras", "first_name": "Cristiana", "middle_name": "Nicole", "gender": "Female", "npi": "1699831487", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G55798", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Pain Management,Children" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "G55798", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Older Adults,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support,Children" } ] }, { "last_name": "Robles", "first_name": "Celeste", "middle_name": "Maria", "gender": "Female", "npi": "1407520901", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT136270", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Family Therapy,Individual Therapy" } ] }, { "last_name": "Ramirez", "first_name": "Violet", "middle_name": "Marie", "gender": "Female", "npi": "1952711756", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "151301", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Family Therapy" } ] }, { "last_name": "Bredehoft", "first_name": "Jacqueline", "middle_name": "D", "gender": "Female", "npi": "1316269525", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "14352", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Obsessive Compulsive Disorders and Related Disorders,Foster Care,Anxiety Disorders" } ] }, { "last_name": "Testo", "first_name": "Kristin", "middle_name": "Michelle", "gender": "Female", "npi": "1972768612", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT77144", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Family Therapy,Parent-Child Interaction Therapy (PCIT),Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Mood Disorders" } ] }, { "last_name": "Nguyen", "first_name": "John", "middle_name": "Huynh", "gender": "Male", "npi": "1114589314", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121502", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "121502", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Clifton", "first_name": "Kandra", "middle_name": "Diane", "gender": "Female", "npi": "1992885719", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "40400", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "Transitional Aged Youth", "specialties": "Transitional Age Youth (TAY)" } ] }, { "last_name": "Trujillo", "first_name": "Erika", "middle_name": "Mariana", "gender": "Female", "npi": "1003469735", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aguilar", "first_name": "Dina", "middle_name": "", "gender": "Female", "npi": "1760843544", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sauvao", "first_name": "Bianca", "middle_name": "Liligo", "gender": "Female", "npi": "1730603549", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chung", "first_name": "Le", "middle_name": "Minh", "gender": "Male", "npi": "1790159945", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tucker", "first_name": "Robin", "middle_name": "Lynne", "gender": "Female", "npi": "1528367083", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Davidson", "first_name": "Ginamarie", "middle_name": "Christine", "gender": "Female", "npi": "1841426772", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bella", "first_name": "Tina", "middle_name": "Marie", "gender": "Female", "npi": "1215391040", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "260094", "license_type": "Licensed Vocational Nurses", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "Transitional Aged Youth", "specialties": "Transitional Age Youth (TAY)" } ] }, { "last_name": "Nguyen", "first_name": "Jennifer", "middle_name": "Nam Phuong", "gender": "Female", "npi": "1518408335", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95006291", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "Transitional Aged Youth", "specialties": "Transitional Age Youth (TAY)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95006291", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "Transitional Aged Youth", "specialties": "Transitional Age Youth (TAY)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95006291", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "Transitional Aged Youth", "specialties": "Transitional Age Youth (TAY)" } ] }, { "last_name": "Pham Do", "first_name": "Ngoc-Minh", "middle_name": "D.", "gender": "Female", "npi": "1154770808", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "16381", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16381", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16381", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Maria", "middle_name": "Isabel", "gender": "Female", "npi": "1073161931", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "151407", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sippell", "first_name": "Joshua", "middle_name": "", "gender": "Male", "npi": "1710465083", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Williams", "first_name": "Kendall", "middle_name": "", "gender": "Female", "npi": "1497321988", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Daniel", "gender": "Male", "npi": "1215579701", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Patricia", "gender": "Female", "npi": "1174912018", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "144208", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth,Adolescents", "specialties": "Children,Adolescent" } ] }, { "last_name": "Manzo", "first_name": "Elijah", "gender": "Male", "npi": "1255819066", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Odalys", "gender": "Female", "npi": "1508586124", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fortier", "first_name": "Amber", "middle_name": "Ceel Elaine", "gender": "Female", "npi": "1013360023", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "105701", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gutierrez", "first_name": "Jacqueline", "gender": "Female", "npi": "1245902642", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bran", "first_name": "Eduardo", "gender": "Male", "npi": "1144849316", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ruiz", "first_name": "Nadine", "gender": "Female", "npi": "1740875947", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castillo Velazquez", "first_name": "Celin", "gender": "Female", "npi": "1538495940", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Eaton", "first_name": "Breanna", "gender": "Female", "npi": "1669049136", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lalusis", "first_name": "Marc Philip", "middle_name": "Abo", "gender": "Male", "npi": "1982333993", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hung", "first_name": "Peter", "middle_name": "Chu Chen", "gender": "Male", "npi": "1093027724", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A118199", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth,Adolescents", "specialties": "Children,Adolescent,Board Certified" } ] }, { "last_name": "Chacon", "first_name": "Robert", "middle_name": "Alexis", "gender": "Male", "npi": "1013521657", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "126454", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders,Anger Management,Assertive Community Treatment (ACT),Bipolar Disorders,Case Management,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Depressive Disorders,Home Visits,Individual Therapy,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mood Disorders,Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Trauma Informed Care,Seeking Safety" } ] }, { "last_name": "Sering", "first_name": "Suzanne", "middle_name": "Lynn", "gender": "Female", "npi": "1255355582", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT38428", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Parent-Child Interaction Therapy (PCIT),Individual Therapy" } ] }, { "last_name": "Tretiakova", "first_name": "Tatiana", "middle_name": "M", "gender": "Female", "npi": "1962583336", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A63465", "license_type": "Physician", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Barrientos-Santoyo", "first_name": "Noemi", "gender": "Female", "npi": "1174295711", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Delgado", "first_name": "Matthew", "middle_name": "Martin", "gender": "Male", "npi": "1437662657", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gallardo", "first_name": "Maria", "gender": "Female", "npi": "1124217898", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Casie", "middle_name": "Elizabeth", "gender": "Female", "npi": "1992149264", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT52559", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Lena", "middle_name": "Quang", "gender": "Female", "npi": "1851970834", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Leslie", "gender": "Female", "npi": "1063141943", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sakai", "first_name": "Albert", "middle_name": "Akio", "gender": "Male", "npi": "1508881848", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MFC44609", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Shawki", "first_name": "Maria", "gender": "Female", "npi": "1720431281", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Unavailable", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tran", "first_name": "Nyvia", "middle_name": "Bao Ngan", "gender": "Female", "npi": "1255850509", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Viramontes", "first_name": "Veronica", "gender": "Female", "npi": "1982164307", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Escobar", "first_name": "Adriana", "gender": "Female", "npi": "1013419209", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Villa", "first_name": "Linette", "middle_name": "Lyvier", "gender": "Female", "npi": "1629546478", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "127783", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Co-Occurring Disorders,Strengths-Based Care,Crisis Intervention Services,Case Management,Pain Management,Addiction,Linkage and Referrals,Parent-Child Interaction Therapy (PCIT),Adolescent,Child and Family Meeting (CFT),Foster Care,Individual Therapy,Parenting Skills,Low Income Populations,Anxiety Disorders,Children,Separation/Divorce,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Chronic Illness,Trauma Informed Care" } ] }, { "last_name": "Gomez", "first_name": "Monique", "middle_name": "Jeanette", "gender": "Female", "npi": "1053939447", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guerrero", "first_name": "Stephenie", "gender": "Female", "npi": "1508236449", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Victims of Abuse,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "137428", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Case Management,Depressive Disorders,Family Therapy,Suicide Assessment and Prevention,Home Visits,Linkage and Referrals,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Parenting Skills,School Based,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Children,Anger Management" } ] }, { "last_name": "Ramirez", "first_name": "Alba", "gender": "Female", "npi": "1891281424", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "109611", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Case Management,Depressive Disorders,Suicide Assessment and Prevention,Home Visits,Linkage and Referrals,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Parenting Skills,School Based,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Children,Anger Management,Mood Disorders" } ] }, { "last_name": "Bernal", "first_name": "Abigail", "middle_name": "", "gender": "Female", "npi": "1467921510", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "Children/Youth", "specialties": "Crisis Intervention Services,Case Management,Adolescent,Child and Family Meeting (CFT),School Based,Low Income Populations,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Children,Anger Management" } ] }, { "last_name": "Vazquez", "first_name": "Alberto", "gender": "Male", "npi": "1619696457", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Cosio", "first_name": "Andrea", "gender": "Female", "npi": "1710648852", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Appelbaum", "first_name": "Bruce", "middle_name": "David", "gender": "Male", "npi": "1528046463", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "G69512", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aldama Hernandez", "first_name": "Gabriela", "middle_name": "Noemi", "gender": "Female", "npi": "1801449517", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Svatos-Zapata", "first_name": "Bryanna", "middle_name": "Nicole", "gender": "Female", "npi": "1548629793", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW133562", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Frost", "first_name": "Jazmine", "gender": "Female", "npi": "1669047452", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Greenberg", "first_name": "Beth", "middle_name": "Anne", "gender": "Female", "npi": "1730796822", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "33320", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jaime", "first_name": "Maximiliam", "middle_name": "Oscar", "gender": "Male", "npi": "1689325391", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sattar", "first_name": "Nur", "gender": "Female", "npi": "1013666122", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "134967", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castle", "first_name": "Judith", "gender": "Female", "npi": "1992199368", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "276433", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gomez", "first_name": "Jairo", "gender": "Male", "npi": "1417055104", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "C38279", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cimarra", "first_name": "Ramoncito", "middle_name": "Llorin", "gender": "Male", "npi": "1043558117", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95011043", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Campos", "first_name": "Julio", "middle_name": "Cesar", "gender": "Male", "npi": "1326301342", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "121712", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez De Franco", "first_name": "Laura", "gender": "Female", "npi": "1558747642", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "141464", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hennessey", "first_name": "Nubia", "middle_name": "", "gender": "Female", "npi": "1861676587", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "53896", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Bernal", "first_name": "Maria", "middle_name": "Del Carmen", "gender": "Female", "npi": "1003111386", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "93605", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "93605", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ching", "first_name": "Berlynn", "middle_name": "Achacoso", "gender": "Female", "npi": "1306199906", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "NP23701", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Echeverria", "first_name": "Melinda", "middle_name": "Jane Berge", "gender": "Female", "npi": "1003834367", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "LCSW23319", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults", "specialties": "Aging,Individual Therapy" } ] }, { "last_name": "Hathuc", "first_name": "Khoiviet", "gender": "Male", "npi": "1497921324", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "11093", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults,Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Juarez", "first_name": "Yuliana", "gender": "Female", "npi": "1780157107", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "131755", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kwon", "first_name": "Daniel", "middle_name": "Saiyun", "gender": "Male", "npi": "1336446087", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ruggiero", "first_name": "Riccardo", "middle_name": "Lucien", "gender": "Male", "npi": "1720575590", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "RN95022071", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ruiz", "first_name": "Alma", "gender": "Female", "npi": "1710446125", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Toohey", "first_name": "Blesilda", "gender": "Female", "npi": "1588024533", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "NP95003814", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Adults/Older Adults,Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Oliveti", "first_name": "Akesa", "middle_name": "Vaipulu", "gender": "Female", "npi": "1750953667", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ampudia", "first_name": "Sierra", "middle_name": "Carinne", "gender": "Female", "npi": "1588272801", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "129087", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Older Adults", "specialties": "Aging,Individual Therapy" } ] }, { "last_name": "Ojeda", "first_name": "Claudia", "gender": "Female", "npi": "1568864064", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "LMFT126343", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Adults,Adults/Older Adults", "specialties": "Aging,Individual Therapy" } ] }, { "last_name": "Woods", "first_name": "Diane", "middle_name": "Marie", "gender": "Female", "npi": "1841935608", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "RN376938", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Chour", "first_name": "Janet", "middle_name": "Lee", "gender": "Female", "npi": "1942845292", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Halbert", "first_name": "Leanne", "middle_name": "Irene", "gender": "Female", "npi": "1811231798", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "119160", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "119160", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Esparza", "first_name": "Adrian", "gender": "Male", "npi": "1932541109", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "159722", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Doverspike", "first_name": "Jessica", "middle_name": "Marie", "gender": "Female", "npi": "1548913254", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT130967", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Park", "first_name": "We Sun", "gender": "Female", "npi": "1568902252", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Huynh", "first_name": "Kevin", "gender": "Male", "npi": "1487161600", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Chau", "middle_name": "Minh", "gender": "Female", "npi": "1851935514", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tu", "first_name": "Christine", "middle_name": "Nguyen", "gender": "Female", "npi": "1932671757", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116037", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Nguyen", "first_name": "Kelly", "middle_name": "Dam", "gender": "Female", "npi": "1023589587", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "138665", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Evangelista", "first_name": "Judi", "gender": "Female", "npi": "1942960240", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dinh", "first_name": "Liana", "gender": "Female", "npi": "1548917123", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Huang", "first_name": "Tiffany", "gender": "Female", "npi": "1306500632", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124282", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Nguyen", "first_name": "Dennis", "gender": "Male", "npi": "1346996857", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chang", "first_name": "Rina", "middle_name": "Sung", "gender": "Female", "npi": "1285274407", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "148317", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Park", "first_name": "Yujin", "gender": "Female", "npi": "1578009106", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "129389", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS KCS FSP Project Focus", "entity": "01506", "npi2": "1730323585", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "13091 GALWAY ST", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92844-1633", "phone": "714-539-4544", "webSite": "https://www.koreancommunity.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Diaz", "first_name": "Nancy", "gender": "Female", "npi": "1407253024", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramos", "first_name": "Marta", "gender": "Female", "npi": "1427601434", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Estrada", "first_name": "Jacqueline", "gender": "Female", "npi": "1154974160", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Romero", "first_name": "Beatriz", "middle_name": "Perez", "gender": "Female", "npi": "1225524416", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ACSW117460", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care" } ] }, { "last_name": "Ayala", "first_name": "Noel", "gender": "Male", "npi": "1831405935", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Casas", "first_name": "Gerolyn", "middle_name": "Mariely", "gender": "Female", "npi": "1326357377", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW76446", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "De Avila", "first_name": "Maribel", "gender": "Female", "npi": "1538395884", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW94273", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nelson", "first_name": "Jessica", "gender": "Female", "npi": "1245787902", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "102532", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Delgado", "first_name": "Cindy", "middle_name": "Montenegro", "gender": "Female", "npi": "1144761545", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT120740", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Calderon", "first_name": "Mercedes", "gender": "Female", "npi": "1588233464", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aroche", "first_name": "Leslie", "gender": "Female", "npi": "1891381315", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guzman", "first_name": "Alejandra", "gender": "Female", "npi": "1881348795", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Velazquez", "first_name": "Mireya", "gender": "Female", "npi": "1295310035", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Florentino", "first_name": "Jessica", "gender": "Female", "npi": "1891219630", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT129131", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Corrales", "first_name": "Elisa", "middle_name": "Flores", "gender": "Female", "npi": "1508981846", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY27862", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Yang", "first_name": "Esther", "middle_name": "Lee", "gender": "Female", "npi": "1013208552", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A125272", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Lopez", "first_name": "Michelle", "middle_name": "Emily", "gender": "Female", "npi": "1447776133", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT119288", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Rodriguez", "first_name": "Martha", "middle_name": "Estela", "gender": "Female", "npi": "1881987915", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "121800", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortiz", "first_name": "Erika", "gender": "Female", "npi": "1912463514", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "150483", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Davidson", "first_name": "Michelle", "middle_name": "Deanne", "gender": "Female", "npi": "1427465541", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,European-American,Chicano American,Gangs,Geriatric Issues,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "103948", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,Behavioral Modification,Case Management,Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Depressive Disorders,Juvenile Justice,Katie A. Services,LGBTQ+,Mood Disorders,Seriously Emotionally Disturbed (SED),Foster Care" } ] }, { "last_name": "Katz", "first_name": "Sarah", "gender": "Female", "npi": "1033674213", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "108537", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Melendez", "first_name": "Ana", "middle_name": "Rosa", "gender": "Female", "npi": "1669857710", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129096", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Lozano", "first_name": "Diana", "gender": "Female", "npi": "1811413040", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129235", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Koung", "first_name": "Somat", "gender": "Female", "npi": "1043753841", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rea", "first_name": "Jose", "middle_name": "Alejandro", "gender": "Male", "npi": "1073005146", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth,Transitional Aged Youth (TAY)", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156345", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Lemaster", "first_name": "Mary", "gender": "Female", "npi": "1871287425", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perret", "first_name": "Sarah", "gender": "Female", "npi": "1548950900", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Aging,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Justice Involved,Older Adults,Physically Disabled,Teens,Transitional Aged Youth (TAY),Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "159501", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "Adolescents,Adults,Adults/Older Adults,Children/Youth,Older Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Community Care Coordinator,Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Crisis Intervention Services,Stress Management,Depressive Disorders,Suicide Assessment and Prevention,Neurodevelopmental Disorders,Older Adults,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Dialectical Behavior Therapy (DBT),Geriatric Services,Individual Therapy,Trauma and Stress Related Disorders" } ] }, { "last_name": "Alonzo", "first_name": "Rosie", "gender": "Female", "npi": "1770661142", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Robert", "suffix": "Jr.", "gender": "Male", "npi": "1154412716", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Duong", "first_name": "Kylaa", "gender": "Female", "npi": "1235534678", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Flores", "first_name": "Kelley", "middle_name": "Anne", "gender": "Female", "npi": "1215318308", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trinh", "first_name": "Tai", "gender": "Male", "npi": "1063508950", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Older Adults", "specialties": "" } ] }, { "last_name": "Tompkins", "first_name": "Jenalie", "middle_name": "Michelle", "gender": "Female", "npi": "1033774435", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Aging,Dual Diagnosis", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Older Adults" } ] }, { "last_name": "Nguyen", "first_name": "Hoang", "gender": "Male", "npi": "1871809756", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "112261", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Juarez", "first_name": "Lauren", "middle_name": "Ella Padilla", "gender": "Female", "npi": "1508020843", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "76787", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Fenton", "first_name": "Jessica", "gender": "Female", "npi": "1376000745", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129110", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Kim", "first_name": "Shannon", "middle_name": "Choi", "gender": "Female", "npi": "1760873236", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "103817", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Phan", "first_name": "Anthony", "middle_name": "Van", "gender": "Female", "npi": "1437495900", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "113233", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Rios", "first_name": "Eunice", "middle_name": "Hyun Young", "gender": "Female", "npi": "1700584851", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "136649", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Cupp", "first_name": "Diana", "middle_name": "Marie", "gender": "Female", "npi": "1164965091", "taxonomy": "363LF0000X", "taxonomy_description": "Nurse Practitioner Family", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95005458", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95005458", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Lee", "first_name": "Angela", "middle_name": "Joo Hi", "gender": "Female", "npi": "1093063729", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "100113", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Lopez", "first_name": "Georgi", "middle_name": "Nicole", "gender": "Female", "npi": "1417636176", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "114778", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Campos", "first_name": "Jannet", "gender": "Female", "npi": "1700418860", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults,African American,Asian/Pacific Islander,Latino/Latina/LatinX,Middle Eastern,Native American,Vietnamese", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "97945", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults,Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Educational Related Mental Health Services" } ] }, { "last_name": "Jett", "first_name": "Jimmi", "middle_name": "Marie", "gender": "Female", "npi": "1598126500", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults,African American,Asian/Pacific Islander,Latino/Latina/LatinX,Middle Eastern,Native American,Vietnamese", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "88672", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults,Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Educational Related Mental Health Services" } ] }, { "last_name": "Kiani", "first_name": "Vivian", "gender": "Female", "npi": "1619350527", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "110861", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Salazar", "first_name": "Monalisa", "gender": "Female", "npi": "1659884138", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults,African American,Asian/Pacific Islander,Latino/Latina/LatinX,Middle Eastern,Native American,Vietnamese", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "130341", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults,Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Educational Related Mental Health Services" } ] }, { "last_name": "Turner", "first_name": "Alison", "middle_name": "Grace", "gender": "Female", "npi": "1720615578", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "114187", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Alvarez", "first_name": "John", "middle_name": "Nathaniel", "gender": "Male", "npi": "1912361106", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A155288", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A155288", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Kaur", "first_name": "Navneet", "gender": "Female", "npi": "1427509108", "taxonomy": "163W00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Hindi", "fluency": "Fluent" }, { "language": "Punjabi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN826159", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN826159", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2035 E. BALL RD.", "address_line_2": "100 & 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN826159", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Akkad", "first_name": "Joanie", "middle_name": "Cay", "gender": "Female", "npi": "1699544833", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "138366", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders,Anger Management,Assertive Community Treatment (ACT),Bipolar Disorders,Case Management,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Depressive Disorders,Home Visits,Individual Therapy,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mood Disorders,Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Trauma Informed Care,Seeking Safety" } ] }, { "last_name": "Frye", "first_name": "Jacqueline", "gender": "Female", "npi": "1851884118", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "122092", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders,Anger Management,Assertive Community Treatment (ACT),Bipolar Disorders,Case Management,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Depressive Disorders,Home Visits,Individual Therapy,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mood Disorders,Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Trauma Informed Care,Seeking Safety" } ] }, { "last_name": "Kochuveli", "first_name": "Joseph", "middle_name": "Paul", "gender": "Male", "npi": "1700108297", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,Multicultural", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A109889", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Trauma Informed Care,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Torres", "first_name": "Christina", "middle_name": "Banuelos", "gender": "Female", "npi": "1194023143", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "113120", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Inglis", "first_name": "Andrew", "middle_name": "", "gender": "Male", "npi": "1902860778", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues,Older Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G73377", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Sagehorn", "first_name": "Gregory", "gender": "Male", "npi": "1295187235", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chavez", "first_name": "Patricia", "gender": "Female", "npi": "1730243742", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "127153", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders" } ] }, { "last_name": "Meyers", "first_name": "Jeannie", "middle_name": "Tuyet-Huynh", "gender": "Female", "npi": "1245519925", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "74817", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders" } ] }, { "last_name": "Ponce", "first_name": "Max", "gender": "Male", "npi": "1568613586", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Spenser", "first_name": "Ciprian", "middle_name": "Raoul", "gender": "Male", "npi": "1386869493", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A99509", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders" } ] }, { "last_name": "Ragheb", "first_name": "Monika", "middle_name": "Magdy", "gender": "Female", "npi": "1619590742", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "149115", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders" } ] }, { "last_name": "Chiu", "first_name": "Sara", "gender": "Female", "npi": "1639496730", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A111631", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A111631", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bernales", "first_name": "Elijah", "middle_name": "Justin", "gender": "Male", "npi": "1760174486", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT131492", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Senteno", "first_name": "Susan", "middle_name": "Ong", "gender": "Female", "npi": "1265104350", "taxonomy": "163WP0809X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Certified" }, { "language": "Other Chinese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN423846", "license_type": "Nurse - RN, LPN, NA", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN423846", "license_type": "Nurse - RN, LPN, NA", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rosen", "first_name": "Gyongyver", "middle_name": "Lavinia", "gender": "Female", "npi": "1922514751", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "121583", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vasquez", "first_name": "Luis", "middle_name": "Angel", "gender": "Male", "npi": "1912544891", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT155841", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Clarke", "first_name": "Edward", "middle_name": "Joseph", "gender": "Male", "npi": "1194592428", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "137469", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tieu", "first_name": "Nicole", "middle_name": "Phuong-Ngan", "gender": "Female", "npi": "1407571888", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW118480", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fuentes", "first_name": "Edward", "middle_name": "Raymond", "suffix": "Jr.", "gender": "Male", "npi": "1063842631", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT105637", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Precious", "gender": "Female", "npi": "1194446179", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "David", "first_name": "Bernadette", "middle_name": "Franco", "gender": "Female", "npi": "1780105338", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95075249", "license_type": "Nurse - RN, LPN, NA", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN95075249", "license_type": "Nurse - RN, LPN, NA", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN95075249", "license_type": "Nurse - RN, LPN, NA", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Forrest", "first_name": "Jeffrey", "middle_name": "Scott", "gender": "Male", "npi": "1205154705", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A156743", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Garcia", "first_name": "Itzayana", "gender": "Female", "npi": "1538932108", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14580", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Huang", "first_name": "Yijing", "gender": "Female", "npi": "1770351884", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "141208", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Liz", "middle_name": "Hoang", "gender": "Female", "npi": "1437240041", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "26182", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sannidhi Venkata", "first_name": "Usha", "middle_name": "Rani", "gender": "Undisclosed", "npi": "1245550573", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Telugu", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "117645", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schechtman", "first_name": "Fabiola", "gender": "Female", "npi": "1740360064", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "124612", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aleman", "first_name": "Nancy", "gender": "Female", "npi": "1760970313", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW105026", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW105026", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW105026", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW105026", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Isais", "first_name": "Francisco", "middle_name": "Einkauf", "suffix": "Jr", "gender": "Male", "npi": "1538565288", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT139165", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT139165", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT139165", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT139165", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Knowlson", "first_name": "Tessa", "middle_name": "Christine", "gender": "Female", "npi": "1952646200", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT137120", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2035 E. BALL RD.", "address_line_2": "100 & 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT137120", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT137120", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT137120", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT137120", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Insuasti", "first_name": "Taren", "middle_name": "Dimitty", "gender": "Female", "npi": "1699398925", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125563", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2035 E. BALL RD.", "address_line_2": "100 & 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125563", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125563", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125563", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125563", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Nunez", "first_name": "Sandy", "gender": "Female", "npi": "1871113175", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2035 E. BALL RD.", "address_line_2": "100 & 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "" } ] }, { "last_name": "Cheung", "first_name": "David", "middle_name": "H", "gender": "Male", "npi": "1144397142", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G70285", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Aroonlap", "first_name": "Usa", "gender": "Female", "npi": "1609171909", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A109987", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Flandrois", "first_name": "Eric", "gender": "Male", "npi": "1942683362", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Katsivalis", "first_name": "Aikaterini", "middle_name": "Tzinti", "gender": "Female", "npi": "1740887181", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW112517", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Hartshorn", "first_name": "Annabelle", "middle_name": "Delight", "gender": "Female", "npi": "1528839982", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW110880", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Persons", "first_name": "Heather", "middle_name": "Susan", "gender": "Female", "npi": "1720853039", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT138042", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Lee", "first_name": "Jueun", "middle_name": "Lydia", "gender": "Female", "npi": "1285155721", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Geriatric Issues,HIV/AIDS,Justice Involved,Korean,LGBTQ+,Multicultural,Multilingual,Multiracial,Older Adults,Pacific Asian,Physically Disabled,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW114570", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Assertive Community Treatment (ACT),Co-Occurring Disorders,Psychoeducational Groups,Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Stress Management,Behavioral Modification,Case Management,Depressive Disorders,LGBTQ+,Obsessive Compulsive Disorders and Related Disorders,Suicide Assessment and Prevention,Home Visits,Linkage and Referrals,Recovery and Resilience Models,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Dialectical Behavior Therapy (DBT),Individual Therapy,Eye Movement Desensitization and Reprocessing,Seeking Safety,Anxiety Disorders,Grief & Bereavement,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Aging,Personality Disorders,Mood Disorders,Trauma Informed Care,Severe and Persistent Mental Illness (SPMI),Motivational Interviewing (MI)" } ] }, { "last_name": "Skrypnyk", "first_name": "Ganna", "gender": "Female", "npi": "1578223442", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156053", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Acosta", "first_name": "David", "middle_name": "Salvador", "gender": "Male", "npi": "1649946633", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT139968", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Park", "first_name": "Sungju", "gender": "Female", "npi": "1336914639", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW127687", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Ngo", "first_name": "Julie", "middle_name": "Huong", "gender": "Female", "npi": "1427457381", "taxonomy": "104100000X;225400000X", "taxonomy_description": "Social Worker,Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Co-Occurring Disorders,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Assertive Community Treatment (ACT),Crisis Intervention Services,Case Management,Linkage and Referrals,Rehabilitation Counseling" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "127981", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "Adolescents,Adults", "specialties": "Co-Occurring Disorders,Psychoeducational Groups,Crisis Intervention Services,Case Management,Therapeutic Behavioral Services (TBS),Dialectical Behavior Therapy (DBT)" } ] }, { "last_name": "Garcia", "first_name": "Joe", "middle_name": "Rudy", "suffix": "Sr.", "gender": "Male", "npi": "1760736730", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Banuelos", "first_name": "Beatris", "middle_name": "Ivonne", "gender": "Female", "npi": "1285181669", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Acosta", "first_name": "Nelson", "gender": "Male", "npi": "1417680356", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "117409", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Blanco", "first_name": "Rudy", "middle_name": "Albert", "gender": "Male", "npi": "1285352443", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "146354", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Churchin", "first_name": "Amber", "middle_name": "LaRae", "gender": "Female", "npi": "1619673571", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131635", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Diaz", "first_name": "Karen", "middle_name": "Lucia", "gender": "Female", "npi": "1962866103", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW128473", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Garcia", "first_name": "Valerie", "middle_name": "Monique", "gender": "Female", "npi": "1356088744", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "141589", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Green", "first_name": "Danielle", "middle_name": "Lopez", "gender": "Female", "npi": "1972252179", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW129169", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jenkins", "first_name": "Virginia", "middle_name": "Marie", "gender": "Female", "npi": "1245569698", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT115995", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Khalil", "first_name": "Karim", "middle_name": "Morad", "gender": "Male", "npi": "1396354890", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT143216", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Macias", "first_name": "Nicole", "middle_name": "Melanie", "gender": "Female", "npi": "1902455132", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "128557", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marquez", "first_name": "Lauren", "middle_name": "Esperanza", "gender": "Female", "npi": "1841925393", "taxonomy": "101Y00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "APCC12228", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Medina", "first_name": "Camilo", "gender": "Male", "npi": "1477648202", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT101379", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Mintz", "first_name": "Casey", "middle_name": "Daniel", "gender": "Male", "npi": "1467092239", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT141133", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Nguyen", "first_name": "Max", "middle_name": "Cong", "gender": "Male", "npi": "1205097334", "taxonomy": "101YM0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pineda", "first_name": "Karina", "middle_name": "Nicholle", "gender": "Female", "npi": "1184285124", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT151026", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Reed", "first_name": "Joshua", "middle_name": "Christopher", "gender": "Male", "npi": "1033874276", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156545", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Rodriguez", "first_name": "Shantal", "middle_name": "Joannah", "gender": "Female", "npi": "1154744274", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "119824", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Rorrer", "first_name": "Farrah", "middle_name": "Oblepias", "gender": "Female", "npi": "1841887288", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "106763", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Row", "first_name": "Peter", "middle_name": "Edward", "gender": "Male", "npi": "1720504715", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW104563", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "To", "first_name": "Justin", "middle_name": "Huy", "gender": "Male", "npi": "1053705905", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151875", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Valenzuela", "first_name": "Miguel", "middle_name": "Antonio", "gender": "Male", "npi": "1235602814", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "133367", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Varela", "first_name": "Hector", "middle_name": "J", "gender": "Male", "npi": "1851496178", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "124820", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Washington", "first_name": "Sydney", "middle_name": "Denise", "gender": "Female", "npi": "1376058636", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW99197", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Delgado", "first_name": "Nicholas", "middle_name": "Anthony", "gender": "Male", "npi": "1932738622", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW121514", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "McDonald", "first_name": "Deborah", "middle_name": "Felecia", "gender": "Female", "npi": "1396485454", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "136563", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults,Transitional Aged Youth", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Raphael", "first_name": "Kathleen", "gender": "Female", "npi": "1720378466", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "134575", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Chan", "first_name": "Jamie", "middle_name": "Sun-Yu", "gender": "Female", "npi": "1205186459", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Certified" }, { "language": "Cantonese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "154176", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Harris", "first_name": "Rexford", "gender": "Male", "npi": "1730878265", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Peterson", "first_name": "Margaret", "middle_name": "Anne", "gender": "Female", "npi": "1003916594", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adolescents,Adults,Adults/Older Adults,Children/Youth", "specialties": "" } ] }, { "last_name": "Harris", "first_name": "Michelle", "middle_name": "Simone", "gender": "Female", "npi": "1649770017", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW108456", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Chahal", "first_name": "Binna", "middle_name": "P", "gender": "Female", "npi": "1356436240", "taxonomy": "2084P0802X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Co-Occurring Disorders,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A34516", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Davis", "first_name": "Kristin", "middle_name": "Sherrie", "gender": "Female", "npi": "1215191507", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT99319", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Crisis Intervention Services,Behavioral Modification" } ] }, { "last_name": "Rabe", "first_name": "Cynthia", "middle_name": "Jean", "gender": "Female", "npi": "1326485822", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT102390", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nisenbaum", "first_name": "David", "gender": "Undisclosed", "npi": "1851659767", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A129897", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Sala", "first_name": "Laura", "middle_name": "Denise", "gender": "Female", "npi": "1891040366", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT97206", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Partum Depression (PPD),Co-Occurring Disorders,Crisis Intervention Services" } ] }, { "last_name": "Sampat", "first_name": "Neeta", "middle_name": "Ferreira", "gender": "Female", "npi": "1932793411", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Gujarati", "fluency": "Fluent" }, { "language": "Hindi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW95026", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders" } ] }, { "last_name": "Shirzadi", "first_name": "Arshia", "gender": "Undisclosed", "npi": "1689786550", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "9293", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Co-Occurring Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Rivero", "first_name": "Christian", "middle_name": "Ivan", "gender": "Male", "npi": "1992469183", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW108500", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Crisis Intervention Services,Stress Management,Case Management,Depressive Disorders,Obsessive Compulsive Disorders and Related Disorders" } ] }, { "last_name": "Teposte", "first_name": "Jose", "middle_name": "Alberto", "gender": "Male", "npi": "1760766505", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Co-Occurring Disorders,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT141780", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Crisis Intervention Services,Case Management,Depressive Disorders,Obsessive Compulsive Disorders and Related Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders" } ] }, { "last_name": "Hernandez", "first_name": "Yvette", "middle_name": "Ines", "gender": "Female", "npi": "1952096877", "taxonomy": "163W00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95148766", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fortman", "first_name": "Jamie", "middle_name": "Ashley", "gender": "Female", "npi": "1801415070", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A178383", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "a178383", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Dadhania", "first_name": "Shivalee", "middle_name": "Mansukh", "gender": "Female", "npi": "1215525480", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Gujarati", "fluency": "Fluent" }, { "language": "Hindi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95018005", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Medication Education, Management, and Support,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Shugarman", "first_name": "Mark", "gender": "Male", "npi": "1053672071", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "94552", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Kalika", "first_name": "Eli", "middle_name": "Benjamin", "gender": "Undisclosed", "npi": "1841723442", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "162540", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Namdari", "first_name": "Natasha", "middle_name": "Tania Martino", "gender": "Undisclosed", "npi": "1679731616", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A141247", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Le", "first_name": "Hai", "middle_name": "Minh", "gender": "Male", "npi": "1811283765", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C175227", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Williams", "first_name": "Gabrielle", "middle_name": "Stetz", "gender": "Female", "npi": "1609497916", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A184844", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Nguyen", "first_name": "Khang", "middle_name": "Manh", "gender": "Male", "npi": "1700959343", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A44790", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Tuason", "first_name": "Brian", "gender": "Male", "npi": "1366961005", "taxonomy": "163WP0808X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN785919", "license_type": "Nurse - RN, LPN, NA", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Carrillo", "first_name": "Michael", "middle_name": "Anthony", "gender": "Male", "npi": "1730751389", "taxonomy": "101YP2500X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10044", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Davis", "first_name": "Jacqueline", "gender": "Female", "npi": "1720782477", "taxonomy": "101Y00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LPCC18167", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Le", "first_name": "Tiffany", "middle_name": "Thao", "gender": "Female", "npi": "1881329993", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW117794", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Morales", "first_name": "Tamara", "gender": "Female", "npi": "1679291686", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "133335", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Nunn", "first_name": "Chelsea", "middle_name": "Elizabeth", "gender": "Female", "npi": "1053929737", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW131352", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Santiago", "first_name": "Jose", "gender": "Male", "npi": "1336697317", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "135864", "license_type": "Associate Marriage Family Therapist", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Spainhour", "first_name": "Michele", "middle_name": "Marie", "gender": "Female", "npi": "1689354904", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "114992", "license_type": "Associate Clinical Social Worker", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Young", "first_name": "Linda", "middle_name": "Kathryn", "gender": "Female", "npi": "1376949552", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "113941", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Phan", "first_name": "Samuel", "middle_name": "Khoa", "gender": "Male", "npi": "1932877578", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "116794", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Resendez", "first_name": "Cynthia", "middle_name": "Ann", "gender": "Female", "npi": "1649955899", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Delgado", "first_name": "Dawnelle", "gender": "Female", "npi": "1306566476", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Alex", "gender": "Male", "npi": "1295123651", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Northcliff", "first_name": "Amelia", "gender": "Female", "npi": "1033459276", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "LGBTQ+" } ] }, { "last_name": "Williams", "first_name": "Cyntralia", "gender": "Female", "npi": "1124363734", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Akhbarati", "first_name": "Laila", "middle_name": "Hengameh", "gender": "Female", "npi": "1376762088", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A109333", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alexander", "first_name": "Daniel", "middle_name": "James", "gender": "Male", "npi": "1326128406", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "113809", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Magallanes", "first_name": "Nelly", "middle_name": "Xochitl", "gender": "Female", "npi": "1326275801", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "93630", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lin", "first_name": "Polly", "middle_name": "Po", "gender": "Female", "npi": "1689151128", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "133103", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "Adults/Older Adults", "specialties": "Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Castellon", "first_name": "Edith", "middle_name": "Eden", "gender": "Female", "npi": "1649845256", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "116220", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kim", "first_name": "Diana", "middle_name": "Young-Hee", "gender": "Female", "npi": "1962933895", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "118380", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fernandez-Duarte", "first_name": "Francisco", "gender": "Male", "npi": "1558802561", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "133675", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lindsay", "first_name": "Erica", "gender": "Female", "npi": "1366222440", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "139801", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Modir", "first_name": "Shaheen", "middle_name": "Reza", "gender": "Male", "npi": "1578065470", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "114786", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cazares", "first_name": "Jose", "middle_name": "Manuel", "gender": "Male", "npi": "1215409453", "taxonomy": "104100000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "105562", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Borjorquez", "first_name": "Ann", "middle_name": "Marie", "suffix": "", "gender": "Female", "npi": "1801979729", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT37890", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAST (Child Abuse Services Team)", "entity": "00030", "npi2": "1912025628", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "401 THE CITY DRIVE S.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3303", "phone": "(714) 935-7545", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "EXAMPLE: Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alvarado", "first_name": "Julie", "middle_name": "Teresa", "gender": "Female", "npi": "1821235110", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "153385", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Bishop", "first_name": "Anny", "middle_name": "Elizabeth", "gender": "Female", "npi": "1679814560", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "96343", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Braucht", "first_name": "Kaitlyn", "middle_name": "Suzanne", "gender": "Female", "npi": "1265217434", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "139902", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Brown", "first_name": "Erin-Ashley", "gender": "Female", "npi": "1336709914", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "139401", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Couch", "first_name": "Amy", "middle_name": "Lee Ann", "gender": "Female", "npi": "1164771507", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Latino/Latina/LatinX,LGBTQ+,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95564", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Community Education and Outreach,Crisis Intervention Services,Behavioral Modification,Case Management,Depressive Disorders,LGBTQ+,Linkage and Referrals,Adolescent,Individual Therapy,Child Development,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Children,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Echevers", "first_name": "Belinda", "middle_name": "Elisabeth", "gender": "Female", "npi": "1821515867", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "153542", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fung", "first_name": "Karen", "middle_name": "Ka Yin", "gender": "Female", "npi": "1912558057", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129744", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Gonzales Jr.", "first_name": "James", "middle_name": "Albert", "gender": "Male", "npi": "1689153819", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "160040", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Diana", "gender": "Female", "npi": "1407570617", "taxonomy": "1041S0200X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "107609", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Hawkes", "first_name": "Jamie", "middle_name": "Lynn", "gender": "Female", "npi": "1699415752", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "113757", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jauregui", "first_name": "Shannon", "middle_name": "Lee", "gender": "Female", "npi": "1346916954", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "105099", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jones", "first_name": "Gayana", "middle_name": "Valerievna", "gender": "Female", "npi": "1962722934", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "92530", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Lasure", "first_name": "Katherine", "middle_name": "Charles", "gender": "Female", "npi": "1558023929", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "157590", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Martinez", "first_name": "Jesse", "gender": "Male", "npi": "1730472747", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "97685", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Pelayo", "first_name": "Fatima", "gender": "Female", "npi": "1821660499", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "113849", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Ragazzo", "first_name": "Anthony", "middle_name": "", "suffix": "Jr.", "gender": "Male", "npi": "1053966846", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "119944", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez", "first_name": "Alicia", "gender": "Female", "npi": "1649948084", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "115724", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sharma", "first_name": "Priyanka", "gender": "Female", "npi": "1841569183", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "110090", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Blanco", "first_name": "Erica", "middle_name": "Leticia", "gender": "Female", "npi": "1154639250", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Geriatric Issues,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT102281", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,Behavioral Modification,Children,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Family Therapy,Transitional Age Youth (TAY),Parenting Skills,Trauma Informed Care,Home Visits,Foster Care" } ] }, { "last_name": "Howard", "first_name": "Keith", "middle_name": "Alan", "gender": "Male", "npi": "1558373506", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Justice Involved,Latino/Latina/LatinX,Middle Eastern,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY20187", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Adoption,Anxiety Disorders,Anger Management,,Attention Deficit Hyperactivity Disorder (ADHD),Autism Spectrum Disorders,Bipolar Disorders,Case Management,Children,Co-Occurring Disorders,Depressive Disorders,Foster Care,Katie A. Services,LGBTQ+,Linkage and Referrals,Mood Disorders,Trauma Informed Care,Transitional Age Youth (TAY)" } ] }, { "last_name": "Parra", "first_name": "Michael", "middle_name": "J", "gender": "Male", "npi": "1144382912", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY11832", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Adoption,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Children,Co-Occurring Disorders,Depressive Disorders,Foster Care,Home Visits,Katie A. Services,LGBTQ+,Linkage and Referrals,Seriously Emotionally Disturbed (SED),Trauma Informed Care,Transitional Age Youth (TAY)" } ] }, { "last_name": "Salto", "first_name": "Silvia", "middle_name": "Soraya", "gender": "Female", "npi": "1518569318", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW118491", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,Behavioral Modification,Case Management,Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Depressive Disorders,Family Therapy,Individual Therapy,Katie A. Services,Linkage and Referrals,Trauma Informed Care,Transitional Age Youth (TAY)" } ] }, { "last_name": "Salzle", "first_name": "Marcella", "gender": "Female", "npi": "1548981657", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW93403", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Addiction,Adolescent,Anxiety Disorders,Anger Management,Bipolar Disorders,Children,Foster Care,Juvenile Justice,Mindfulness,Mood Disorders,Transitional Age Youth (TAY),Trauma Informed Care" } ] }, { "last_name": "Burns", "first_name": "Makenna", "gender": "Female", "npi": "1053891028", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "34471", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Arreola", "first_name": "Gabriel", "middle_name": "Rocky", "gender": "Male", "npi": "1073917910", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "157869", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Davis", "first_name": "Angela", "middle_name": "Megan", "gender": "Female", "npi": "1770937187", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT99815", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy" } ] }, { "last_name": "Erickson", "first_name": "Kristin", "gender": "Female", "npi": "1932614823", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT100363", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Lugger", "first_name": "Jamie", "middle_name": "Melissa", "gender": "Female", "npi": "1063049294", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy" } ] }, { "last_name": "Millan", "first_name": "Juliet", "middle_name": "Aljure", "gender": "Female", "npi": "1144235508", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT46464", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy" } ] }, { "last_name": "Sellers", "first_name": "Jonelle", "middle_name": "Lee", "gender": "Female", "npi": "1255411443", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY17569", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy" } ] }, { "last_name": "Torres", "first_name": "Stephanie", "middle_name": "Rochelle", "gender": "Female", "npi": "1851704399", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT114991", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Bush", "first_name": "Ashley", "middle_name": "Dominique", "gender": "Female", "npi": "1770277238", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "154123", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Hernandez", "first_name": "Jennifer", "gender": "Female", "npi": "1366223984", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT140722", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Melear", "first_name": "Erika", "middle_name": "Lynne", "gender": "Female", "npi": "1215378351", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT90535", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Steen", "first_name": "Rebecca", "middle_name": "Bishop", "gender": "Female", "npi": "1720772916", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153573", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ung", "first_name": "Linda", "middle_name": "Ngoc", "gender": "Female", "npi": "1831655562", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT151987", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Zamora", "first_name": "Laura", "gender": "Female", "npi": "1316226889", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Arbelaez", "first_name": "Diana", "middle_name": "Marcela", "gender": "Female", "npi": "1649040650", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Autism Spectrum Disorders,Co-Occurring Disorders,Crisis Intervention Services,Critical Incident Assessment,Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Suicide Assessment and Prevention,Linkage and Referrals,Adolescent,Foster Care,Individual Therapy,Seeking Safety,Anxiety Disorders,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Separation/Divorce,Play Therapy" } ] }, { "last_name": "Becker", "first_name": "Alyssa", "gender": "Female", "npi": "1134803554", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21767", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Eating Disorders,LGBTQ+,Sand Tray and Art Therapy,Dialectical Behavior Therapy (DBT),Transgender, Gender Diverse, and Intersex (TGI),Eye Movement Desensitization and Reprocessing,Anxiety Disorders,LPS 5150/5585 Designated Staff,Children,Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Gomez", "first_name": "Sandra", "gender": "Female", "npi": "1710757323", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Han", "first_name": "Stephanie", "middle_name": "Yoonju", "gender": "Undisclosed", "npi": "1316472608", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Geriatric Issues,Law Enforcement,Older Adults,Pacific Asian,Teens,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A158328", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Post Partum Depression (PPD),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Sleep Disorders,Autism Spectrum Disorders,Psychoeducational Groups,CPR/First Aid Certified,Somatic/Conversion/Factitious Disorders,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Depressive Disorders,Eating Disorders,Immigration Populations,Obsessive Compulsive Disorders and Related Disorders,Veteran's/ Military Lifestyle Issues,Suicide Assessment and Prevention,Addiction,Bereavement,Developmental and Behavioral Pediatrics,Gender Dysphoria,Neurodevelopmental Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Adolescent,Bipolar Disorders,Foster Care,Individual Therapy,Medication Education and Support,Parenting Skills,Adoption,Board Certified,Child Development,Disabilities,Medication Education, Management, and Support,Refugees,Transitional Age Youth (TAY),Anxiety Disorders,Child Psychopharmacology,Grief & Bereavement,Sensitivity to Spirituality Practices,Trauma and Stress Related Disorders,Children,LPS Conservatorship,Personality Disorders,Anger Management,Mood Disorders,Trauma Informed Care,Phobias,Severe and Persistent Mental Illness (SPMI)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A158328", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Post Partum Depression (PPD),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Sleep Disorders,Autism Spectrum Disorders,Psychoeducational Groups,CPR/First Aid Certified,Somatic/Conversion/Factitious Disorders,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Depressive Disorders,Eating Disorders,Immigration Populations,Obsessive Compulsive Disorders and Related Disorders,Veteran's/ Military Lifestyle Issues,Suicide Assessment and Prevention,Addiction,Bereavement,Developmental and Behavioral Pediatrics,Gender Dysphoria,Neurodevelopmental Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Adolescent,Bipolar Disorders,Foster Care,Individual Therapy,Medication Education and Support,Parenting Skills,Adoption,Board Certified,Child Development,Disabilities,Medication Education, Management, and Support,Refugees,Transitional Age Youth (TAY),Anxiety Disorders,Child Psychopharmacology,Grief & Bereavement,Sensitivity to Spirituality Practices,Trauma and Stress Related Disorders,Children,LPS Conservatorship,Personality Disorders,Anger Management,Mood Disorders,Trauma Informed Care,Phobias,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Kua", "first_name": "Stephanie", "middle_name": "Rodriguez", "gender": "Female", "npi": "1689979452", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A114548", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Leikun", "first_name": "Melat", "gender": "Female", "npi": "1639725344", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "114807", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Sleep Disorders,Autism Spectrum Disorders,Co-Occurring Disorders,Strengths-Based Care,Stress Management,Critical Incident Assessment,Case Management,Depressive Disorders,Family Therapy,Pain Management,Adolescent,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Individual Therapy,Parenting Skills,Child Development,Seeking Safety,Children,Mindfulness,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,,Chronic Pain,Motivational Interviewing (MI),Play Therapy" } ] }, { "last_name": "Martinez", "first_name": "Berna", "middle_name": "Marie", "gender": "Female", "npi": "1497263677", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Chicano American,Latino/Latina/LatinX,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20302", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "Cognitive Behavioral Therapy (CBT),Attention Deficit Hyperactivity Disorder (ADHD),Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Behavioral Modification,Case Management,Depressive Disorders,Adolescent" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "20302", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "Cognitive Behavioral Therapy (CBT),Attention Deficit Hyperactivity Disorder (ADHD),Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Behavioral Modification,Case Management,Depressive Disorders,Adolescent" } ] }, { "last_name": "Navarro", "first_name": "Teresita", "gender": "Female", "npi": "1992986848", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Regalado", "first_name": "Veronica", "gender": "Female", "npi": "1487149225", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "133610", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychodynamic Therapy,Strengths-Based Care,Stress Management,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Obsessive Compulsive Disorders and Related Disorders,Adolescent,Individual Therapy,Parenting Skills,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Grief & Bereavement,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Trauma Informed Care,,Motivational Interviewing (MI),Play Therapy" } ] }, { "last_name": "Ruelas", "first_name": "Gabriela", "middle_name": "Duron", "gender": "Female", "npi": "1093954307", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schultz", "first_name": "Brittney", "gender": "Female", "npi": "1144933169", "taxonomy": "163WP0807X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95225423", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Assertive Community Treatment (ACT),Community Education and Outreach,CPR/First Aid Certified,Linkage and Referrals,Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95225423", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Assertive Community Treatment (ACT),Community Education and Outreach,CPR/First Aid Certified,Linkage and Referrals,Medication Education and Support" } ] }, { "last_name": "Valverde", "first_name": "Joshua", "suffix": "Jr.", "gender": "Male", "npi": "1245769215", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Bicultural/Multicultural issues,Chicano American,HIV/AIDS,Latino/Latina/LatinX,LGBTQ+,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "157542", "license_type": "Licensed Psychiatrists", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Autism Spectrum Disorders,Depressive Disorders,Eating Disorders,LGBTQ+,Gender Dysphoria,Schizophrenia Spectrum and Other Psychotic Disorders,Adolescent,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Board Certified,Low Income Populations,Medication Education, Management, and Support,Transitional Age Youth (TAY),Anxiety Disorders,Child Psychopharmacology,Trauma and Stress Related Disorders,Children,Mood Disorders," } ] }, { "last_name": "Astorga", "first_name": "Yesenia", "middle_name": "Cisneros", "gender": "Female", "npi": "1669601498", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Latino/Latina/LatinX,LGBTQ+,Multicultural,Multilingual,Multiracial,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT83090", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "Children/Youth", "specialties": "Depressive Disorders,LGBTQ+,Suicide Assessment and Prevention,Adolescent,Individual Therapy,Low Income Populations,Anxiety Disorders,Trauma and Stress Related Disorders" } ] }, { "last_name": "Calleros", "first_name": "Steven", "middle_name": "Richard", "gender": "Undisclosed", "npi": "1912040585", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A73924", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Duarte", "first_name": "Matthew", "middle_name": "James", "gender": "Male", "npi": "1972097822", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT140184", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Flores", "first_name": "Alfredo", "gender": "Male", "npi": "1417520099", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hayden", "first_name": "Erika", "middle_name": "Miranda", "gender": "Female", "npi": "1265521256", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "50967", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Hernandez", "first_name": "Angelica", "gender": "Female", "npi": "1215136700", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT113111", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kalt", "first_name": "Jeff", "gender": "Male", "npi": "1871858126", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY26543", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kim", "first_name": "Somang", "middle_name": "Praise", "gender": "Female", "npi": "1528774510", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY33847", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Patino", "first_name": "Veronica", "gender": "Female", "npi": "1922473685", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT106713", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez-Pussman", "first_name": "Karla", "middle_name": "Elizabeth", "gender": "Female", "npi": "1780701847", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rosales", "first_name": "Reina", "middle_name": "Cassandra", "gender": "Female", "npi": "1013615624", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "134218", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Santana Alvarez", "first_name": "Diana", "gender": "Female", "npi": "1609375567", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ACSW120365", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Solution Focused Therapy,Crisis Intervention Services,Stress Management,Behavioral Modification,Case Management,Depressive Disorders,Family Therapy,Obsessive Compulsive Disorders and Related Disorders,Sand Tray and Art Therapy,Suicide Assessment and Prevention,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Parenting Skills,Anxiety Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Motivational Interviewing (MI)" } ] }, { "last_name": "Tseheridis", "first_name": "Anastasios", "gender": "Male", "npi": "1043626831", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "150361", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Viveros", "first_name": "Aida", "middle_name": "Silva", "gender": "Female", "npi": "1013346931", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "144738", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "Children/Youth", "specialties": "Parent-Child Interaction Therapy (PCIT)" } ] }, { "last_name": "Cruz", "first_name": "Rhonda", "gender": "Female", "npi": "1104476191", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129831", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Adolescents", "specialties": "Crisis Intervention Services,Stress Management,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,LGBTQ+,Suicide Assessment and Prevention,Home Visits,Linkage and Referrals,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,LPS 5150/5585 Designated Staff,Anger Management,Mood Disorders,Trauma Informed Care,Phobias,Motivational Interviewing (MI)" } ] }, { "last_name": "Portillo-Segovia", "first_name": "Emely", "middle_name": "Alexa", "gender": "Female", "npi": "1144834029", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW125063", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Children/Youth", "specialties": "Crisis Intervention Services,Stress Management,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,LGBTQ+,Suicide Assessment and Prevention,Home Visits,Linkage and Referrals,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Seeking Safety,LPS 5150/5585 Designated Staff,Anger Management,Mood Disorders,Severe and Persistent Mental Illness (SPMI),Motivational Interviewing (MI)" } ] }, { "last_name": "Santillan", "first_name": "Gina", "gender": "Female", "npi": "1508524117", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW109807", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Children/Youth", "specialties": "Crisis Intervention Services,Stress Management,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,LGBTQ+,Home Visits,Linkage and Referrals,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,LPS 5150/5585 Designated Staff,Anger Management,Mood Disorders,Severe and Persistent Mental Illness (SPMI),Motivational Interviewing (MI)" } ] }, { "last_name": "Turakhia", "first_name": "Atur", "middle_name": "Vikram", "suffix": "Md", "gender": "Male", "npi": "1104966126", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A100063", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support,Transitional Age Youth (TAY),Anxiety Disorders,Trauma and Stress Related Disorders,Mood Disorders,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Vasquez", "first_name": "Blanca", "middle_name": "Lidia", "gender": "Female", "npi": "1235770678", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW92320", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Children/Youth", "specialties": "Co-Occurring Disorders,Psychoeducational Groups,Socialization Groups,Stress Management,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,LGBTQ+,Suicide Assessment and Prevention,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Child and Family Meeting (CFT),Individual Therapy,Transitional Age Youth (TAY),Anxiety Disorders,LPS 5150/5585 Designated Staff,Mood Disorders" } ] }, { "last_name": "Hanna", "first_name": "Caroline", "middle_name": "Ezzat Mounir", "gender": "Female", "npi": "1427650506", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT143838", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "King", "first_name": "Ryemaine", "gender": "Female", "npi": "1477148963", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "unavailable", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Children" } ] }, { "last_name": "Ramirez", "first_name": "Maynard", "middle_name": "Lavilla", "gender": "Male", "npi": "1144703950", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Young", "first_name": "Victoria", "gender": "Female", "npi": "1952756785", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT102286", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Zamora Gonzalez", "first_name": "Roxana", "gender": "Female", "npi": "1386268845", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Chicano American,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "161018", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Parent-Child Interaction Therapy (PCIT),Eye Movement Desensitization and Reprocessing" } ] }, { "last_name": "Ayala Guzman", "first_name": "Patricia", "gender": "Female", "npi": "1023544202", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC Central (Youth Reporting Center)", "entity": "00030", "npi2": "1215055934", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1700 E SAINT ANDREW PL", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 667-7610", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "Adolescents", "specialties": "Juvenile Justice" } ] }, { "last_name": "Ramirez", "first_name": "Liceth", "gender": "Female", "npi": "1215410568", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT127092", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS YRC Central (Youth Reporting Center)", "entity": "00030", "npi2": "1215055934", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1700 E SAINT ANDREW PL", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 667-7610", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Psychoeducational Groups,Solution Focused Therapy,Criminal Justice,Crisis Intervention Services,Critical Incident Assessment,Case Management,Family Therapy,Juvenile Justice,Individual Therapy,Eye Movement Desensitization and Reprocessing,Motivational Interviewing (MI)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT127092", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS YRC North (Youth Reporting Center)", "entity": "00030", "npi2": "1407993249", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1920 W CORPORATE WAY", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5373", "phone": "(714) 687-6705", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "", "specialties": "Post Traumatic Stress Disorder (PTSD),Individual Therapy,Eye Movement Desensitization and Reprocessing,Motivational Interviewing (MI)" } ] }, { "last_name": "Cabello", "first_name": "Angel", "gender": "Male", "npi": "1487995007", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Geriatric Issues,Justice Involved,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW106510", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS YRC North (Youth Reporting Center)", "entity": "00030", "npi2": "1407993249", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1920 W CORPORATE WAY", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5373", "phone": "(714) 687-6705", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Group Therapy,Individual Therapy,Trauma Informed Care" } ] }, { "last_name": "Okoro", "first_name": "Denacia", "gender": "Female", "npi": "1851872170", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC North (Youth Reporting Center)", "entity": "00030", "npi2": "1407993249", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1920 W CORPORATE WAY", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5373", "phone": "(714) 687-6705", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vasconez", "first_name": "Rebecca", "gender": "Female", "npi": "1083314272", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "148311", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders" } ] }, { "last_name": "Doan", "first_name": "Jimmy", "gender": "Male", "npi": "1578842548", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A122521", "license_type": "Physician", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "" } ] }, { "last_name": "Escamilla", "first_name": "Isabella", "middle_name": "Grace", "gender": "Female", "npi": "1285415364", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14436", "license_type": "Associate Professional Clinical Counselor", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Hernandez", "first_name": "Nenita", "middle_name": "A", "gender": "Undisclosed", "npi": "1275716052", "taxonomy": "163WC1500X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "437887", "license_type": "Nurse - RN, LPN, NA", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Nguyen", "first_name": "Vy", "middle_name": "Thien", "gender": "Male", "npi": "1609296177", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A140578", "license_type": "Physician", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Adolescent" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A140578", "license_type": "Physician", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Tostado", "first_name": "Luke", "middle_name": "Alan", "gender": "Male", "npi": "1780813675", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "120946", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Venegas", "first_name": "Laura", "gender": "Female", "npi": "1033383443", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Teens", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "118266", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "Lee", "first_name": "Kitty", "gender": "Female", "npi": "1760908248", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,Vietnamese", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123469", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123469", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Nguyen", "first_name": "Doan", "middle_name": "Qui", "gender": "Male", "npi": "1336503838", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A153320", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Asian and Pacific Islander Community,Individual Therapy,Medication Education and Support,Medication Education, Management, and Support,Severe and Persistent Mental Illness (SPMI)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A153320", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Medication Education and Support,Medication Education, Management, and Support,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Nguyen", "first_name": "Thuy", "middle_name": "Nhu", "gender": "Female", "npi": "1467615211", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW94240", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW94240", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Nguyen", "first_name": "Tommy", "middle_name": "Minh", "gender": "Male", "npi": "1184066391", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Certified" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ullman", "first_name": "Hanh-Thuc", "middle_name": "Phan", "gender": "Female", "npi": "1942396072", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Vietnamese", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Certified" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129566", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Phuong Thanh", "middle_name": "Huynh", "gender": "Female", "npi": "1780905661", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW79405", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Danny Vu", "middle_name": "Son", "gender": "Male", "npi": "1346339892", "taxonomy": "171M00000X", "taxonomy_description": "Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "French", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Certified" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sureen", "first_name": "Angela", "gender": "Female", "npi": "1457762346", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A149339", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A149339", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Anees", "first_name": "Muhammad", "middle_name": "Ali", "gender": "Male", "npi": "1174961981", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Urdu", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A146609", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults", "specialties": "Assertive Community Treatment (ACT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A146609", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hill", "first_name": "Tammy", "middle_name": "Jo", "gender": "Female", "npi": "1477291425", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW27986", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lovato", "first_name": "Patrick", "middle_name": "Lorenzo", "gender": "Male", "npi": "1740834944", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "107717", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Shahinian", "first_name": "Paula", "middle_name": "Shushanik", "gender": "Female", "npi": "1861736977", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Shoho", "first_name": "Joanne", "middle_name": "Miki", "gender": "Female", "npi": "1629336631", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT91324", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vera", "first_name": "Mireya", "gender": "Female", "npi": "1437573789", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Certified" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guzman Kiss", "first_name": "Joseph", "middle_name": "Roland", "gender": "Male", "npi": "1740062918", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Family Systems,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Certified" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "142613", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Huynh", "first_name": "Duy Vu", "middle_name": "Ky", "gender": "Male", "npi": "1740444298", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT152265", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Le", "first_name": "Jeanne", "middle_name": "Be Mai Lien", "gender": "Female", "npi": "1346817178", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT158006", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Maria Del Refugio", "gender": "Female", "npi": "1649727454", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Boysen", "first_name": "Megan", "middle_name": "Christine", "gender": "Female", "npi": "1528401486", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY32600", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Chaiday-Cabrera", "first_name": "Sandra", "gender": "Female", "npi": "1972691525", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY32404", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Crofut", "first_name": "Rebecca", "middle_name": "Ann Patch", "gender": "Female", "npi": "1033540307", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW90794", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Kennedy", "first_name": "Kelley", "middle_name": "Mcwayne", "gender": "Female", "npi": "1265515548", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW21285", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Martinez", "first_name": "Sylvia", "gender": "Female", "npi": "1558478057", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY20508", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Nettleton", "first_name": "Erin", "middle_name": "Eileen", "gender": "Female", "npi": "1598858144", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT36239", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Co-Occurring Disorders,Family Therapy,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Seriously Emotionally Disturbed (SED)" } ] }, { "last_name": "Pham", "first_name": "Hung", "middle_name": "Quoc", "gender": "Male", "npi": "1174613913", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW23055", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Salazar", "first_name": "Elizabeth", "gender": "Female", "npi": "1225537053", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "122763", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Sanchez-Martinez", "first_name": "Zuly", "gender": "Female", "npi": "1124792155", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW109943", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Stopher", "first_name": "Jennifer", "middle_name": "Denise", "gender": "Female", "npi": "1356439236", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW19104", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Vo", "first_name": "Darline", "middle_name": "Thuy", "gender": "Female", "npi": "1356568349", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY21281", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Afshar", "first_name": "Parvin", "gender": "Female", "npi": "1437247335", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A44980", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alston", "first_name": "Jada", "gender": "Female", "npi": "1427692375", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95013853", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Alva", "first_name": "Alejandro", "gender": "Male", "npi": "1801816764", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A62396", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Aramesh", "first_name": "Shadi", "gender": "Female", "npi": "1326487091", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A140822", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A140822", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "NEW FOUNDATION MEDICAL INC", "entity": "00F30", "npi2": "1689023582", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM1300X", "site_taxonomy_description": "Clinic/Center Multi-Specialty", "address_line_1": "520 N MAIN ST.", "address_line_2": "STE. 120", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4623", "phone": "(714) 352-5800", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "New Foundation Medical Group offers superior clinical mental health such as depression, ADHD, medication management and generalized anxiety disorders with insightful analytics to improve the delivery of care." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Augius", "first_name": "Lina", "middle_name": "I", "gender": "Female", "npi": "1205026705", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "92962", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Chueh", "first_name": "Daniel", "gender": "Male", "npi": "1174589642", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A48624", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dennis", "first_name": "Tshekedi", "middle_name": "Galen", "gender": "Male", "npi": "1215015508", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A96369", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "NEW FOUNDATION MEDICAL INC", "entity": "00F30", "npi2": "1689023582", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM1300X", "site_taxonomy_description": "Clinic/Center Multi-Specialty", "address_line_1": "520 N MAIN ST.", "address_line_2": "STE. 120", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4623", "phone": "(714) 352-5800", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "New Foundation Medical Group offers superior clinical mental health such as depression, ADHD, medication management and generalized anxiety disorders with insightful analytics to improve the delivery of care." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A96369", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Edwards", "first_name": "Melissa", "gender": "Female", "npi": "1598252173", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "704638", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Guiney", "first_name": "Dylan", "gender": "Male", "npi": "1295242410", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95008466", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Kellogg", "first_name": "Jason", "middle_name": "P", "gender": "Male", "npi": "1952331530", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A66130", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Kim", "first_name": "Helen", "gender": "Female", "npi": "1497380356", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95013863", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Rasyidi", "first_name": "Ernest", "gender": "Male", "npi": "1962644997", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A106902", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Tran", "first_name": "Phuong", "middle_name": "T", "gender": "Male", "npi": "1275990111", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP95003693", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trinh", "first_name": "Linda", "gender": "Female", "npi": "1124333828", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP23639", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Weinstein", "first_name": "John", "middle_name": "R", "gender": "Male", "npi": "1255402608", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A64936", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Acevedo", "first_name": "Maria", "middle_name": "D", "gender": "Female", "npi": "1992363535", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95011905", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Colone", "first_name": "Crystal", "middle_name": "Yvonne", "gender": "Female", "npi": "1265742514", "taxonomy": "363A00000X;363AM0700X;363AS0400X", "taxonomy_description": "Physician Assistant,Physician Assistant,Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "21198", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Coskinas", "first_name": "Evagelos", "gender": "Male", "npi": "1437382314", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G69850", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ST JOSEPH HOSPITAL OF ORANGE", "entity": "00F30", "npi2": "1285619254", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "273R00000X", "site_taxonomy_description": "Psychiatric Unit", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "As part of our Behavioral Health Services, individuals who do not require 24-hour treatment for psychiatric problems and/or issues with chemical dependency can receive additional support from St. Joseph Hospital. With a full range of psychiatric services, & medication management our program offers outpatient treatment for individuals 18 years or older." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Hanna", "first_name": "Jeannette", "gender": "Female", "npi": "1578652798", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A35746", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Ismail", "first_name": "Ashraf", "gender": "Male", "npi": "1720211691", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A109030", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Johnson", "first_name": "Andrew", "middle_name": "W", "gender": "Male", "npi": "1730778978", "taxonomy": "363A00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PA59223", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Kantelis", "first_name": "Sarah", "gender": "Female", "npi": "1881047892", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "53960", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Mule", "first_name": "Alexander", "gender": "Male", "npi": "1649744665", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "56449", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Nguyen", "first_name": "Michelle", "middle_name": "Corro", "gender": "Female", "npi": "1740601269", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "23839", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Brosamer", "first_name": "Erin", "middle_name": "Nicole", "gender": "Female", "npi": "1710534359", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PA57436", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Park", "first_name": "Sung Jin", "gender": "Male", "npi": "1093457194", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "60815", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Patel", "first_name": "Sheena", "middle_name": "Pravin", "gender": "Female", "npi": "1932454709", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "21163", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Perham", "first_name": "Kellyn", "middle_name": "Rose", "gender": "Female", "npi": "1841881778", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "59117", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Ploesser", "first_name": "Markus", "gender": "Male", "npi": "1669662755", "taxonomy": "2084F0202X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A101564", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Pokkamthanam", "first_name": "Suneena", "gender": "Female", "npi": "1396163945", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "51531", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Rajpoot", "first_name": "Deepak", "gender": "Male", "npi": "1093942864", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A118562", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "NEBULA HEALTH LLC", "entity": "00F30", "npi2": "1194479501", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "806 AVENIDA PICO", "address_line_2": "SUITE I-33", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92673", "phone": "657-346-6319", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Richmond", "first_name": "Glenn", "middle_name": "H", "gender": "Male", "npi": "1972600310", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A46498", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "HUNTINGTON BEACH HOSPITAL", "entity": "00F30", "npi2": "1780986356", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "273R00000X", "site_taxonomy_description": "Psychiatric Unit", "address_line_1": "17772 BEACH BLVD.", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-6819", "phone": "(714) 843-5000", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mature Adult Psychiatric Services at Huntington Beach Hospital provide comprehensive treatment programs for adults in need of specialized behavioral healthcare. Physician supervised inpatient and partial hospitalization programs are available to meet the individual needs of each patient, along with medication management." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Sebastian", "first_name": "Jennifer", "gender": "Female", "npi": "1942627880", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "51365", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Shreiba", "first_name": "Mohammed", "gender": "Male", "npi": "1982866067", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A135762", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Stutz", "first_name": "Brandon", "gender": "Male", "npi": "1316588734", "taxonomy": "364SP0808X", "taxonomy_description": "Clinical Nurse Specialist Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "57325", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Vong", "first_name": "Timothy", "gender": "Male", "npi": "1477125250", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "60661", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Yang", "first_name": "Kelly", "gender": "Female", "npi": "1215588991", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "59052", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Yoo", "first_name": "Jea", "gender": "Male", "npi": "1245828946", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "59208", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Calderon", "first_name": "Myriam", "middle_name": "Esther", "gender": "Female", "npi": "1952950644", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Justice Involved,Iranian,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW117783", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,Children,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Juvenile Justice,Seriously Emotionally Disturbed (SED),Trauma Informed Care,Foster Care" } ] }, { "last_name": "Ibarra", "first_name": "Lindsey", "middle_name": "Anne", "gender": "Female", "npi": "1245681287", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barber", "first_name": "Lindy", "gender": "Female", "npi": "1669554200", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nava", "first_name": "Elizabeth", "gender": "Female", "npi": "1003594532", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "In", "first_name": "SunMin", "gender": "Female", "npi": "1720851215", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "141877", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Thinh", "first_name": "Huy", "gender": "Male", "npi": "1336687151", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Danielle Dang", "middle_name": "", "gender": "Female", "npi": "1659082386", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Choi", "first_name": "Aekyong", "gender": "Female", "npi": "1184324717", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "138066", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Song", "first_name": "Bingjie", "gender": "Female", "npi": "1598442279", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145032", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Le", "first_name": "Tien", "middle_name": "Thuy", "gender": "Female", "npi": "1770206534", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reveles-Villalobos", "first_name": "Bertha", "gender": "Female", "npi": "1386415255", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lares", "first_name": "Mayra", "gender": "Female", "npi": "1225217615", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "102523", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Brito", "first_name": "Giselle", "middle_name": "Marisol", "gender": "Female", "npi": "1144909912", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bustamante", "first_name": "Yvette", "gender": "Female", "npi": "1699540609", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Eustaquio", "first_name": "Alexis", "gender": "Female", "npi": "1487362620", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Jose", "middle_name": "Alberto", "gender": "Male", "npi": "1679133565", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marin", "first_name": "Lizzete", "gender": "Female", "npi": "1215617733", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Serena", "middle_name": "Angelina", "gender": "Female", "npi": "1619732419", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rosendo", "first_name": "Michael", "middle_name": "Allen", "suffix": "Mr.", "gender": "Male", "npi": "1649789231", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Justice Involved,Military Culture,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Ramirez", "first_name": "Luis", "middle_name": "Angel", "gender": "Male", "npi": "1922884287", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cortez-Benitez", "first_name": "Emily", "gender": "Female", "npi": "1669159083", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "115758", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rios Luis", "first_name": "Reyna", "middle_name": "Iracemi", "gender": "Female", "npi": "1245972199", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barela", "first_name": "Briana", "middle_name": "Marie", "gender": "Female", "npi": "1912698820", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "112277", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez Ceballos", "first_name": "Ixzel", "gender": "Female", "npi": "1649896176", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "42436", "license_type": "Psychiatric Technicians", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Karamigios", "first_name": "Kali", "middle_name": "Marie", "gender": "Female", "npi": "1003456013", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW119069", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD)" } ] }, { "last_name": "Jimenez Ung", "first_name": "Shawntal", "gender": "Female", "npi": "1548819360", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "16859", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cervantes", "first_name": "Evelyn", "middle_name": "Jhoana", "gender": "Female", "npi": "1447942149", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "115953", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Derek", "gender": "Male", "npi": "1811603442", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mitchell", "first_name": "Ashley", "middle_name": "Lauren", "gender": "Female", "npi": "1578160115", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116704", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "De Leon", "first_name": "Tyler", "middle_name": "Cole", "gender": "Male", "npi": "1912238197", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "88321", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW88321", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Law", "first_name": "Yingxuan", "gender": "Female", "npi": "1053680231", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95022503", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP95022503", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95022503", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jacobo", "first_name": "Kimberly", "middle_name": "Ann", "gender": "Female", "npi": "1053032078", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT143307", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Patron-Martinez", "first_name": "Jude", "middle_name": "Ethen", "gender": "Male", "npi": "1801264445", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barcenas", "first_name": "Anneli", "gender": "Female", "npi": "1912440983", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tobey", "first_name": "Raeanne", "gender": "Female", "npi": "1609643188", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vera", "first_name": "Abel", "gender": "Male", "npi": "1124781885", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Latino/Latina/LatinX,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Stress Management,Case Management,Supportive Employment,Home Visits,Linkage and Referrals" } ] }, { "last_name": "Yuzon", "first_name": "Gillian", "middle_name": "Tatum", "gender": "Female", "npi": "1497473136", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pedroza", "first_name": "Conrad", "middle_name": "Rodney", "gender": "Male", "npi": "1710439492", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vega", "first_name": "Noemi", "gender": "Female", "npi": "1467076380", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Medina", "first_name": "Leslie", "middle_name": "Diane", "gender": "Female", "npi": "1235810003", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Maldonado", "first_name": "Luz", "middle_name": "Esmeralda", "gender": "Female", "npi": "1770356594", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gari", "first_name": "Keith", "middle_name": "Tyler", "gender": "Male", "npi": "1487417663", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nunez", "first_name": "Rosalinda", "gender": "Female", "npi": "1194583732", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chumpitaz", "first_name": "Sasha", "middle_name": "Dayana", "gender": "Female", "npi": "1407531023", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gallegos-Ontiveros", "first_name": "Amelia", "gender": "Female", "npi": "1306524715", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116264", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Gonzalez", "first_name": "Adela", "gender": "Female", "npi": "1649025784", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fernandez Palma", "first_name": "Andrea", "middle_name": "Margarita", "gender": "Female", "npi": "1447031968", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT141056", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,LGBTQ+,Suicide Assessment and Prevention,Impulse-Control Disorders,Adolescent,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Foster Care,Individual Therapy,Anxiety Disorders,LPS 5150/5585 Designated Staff,Rehab/Intensive Home Based Services,Group Therapy,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Holmes", "first_name": "Nicole", "middle_name": "Roya", "gender": "Female", "npi": "1154053114", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT131653", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent,Foster Care,Anxiety Disorders,Children,Anger Management" } ] }, { "last_name": "Tamayo", "first_name": "Jennifer", "middle_name": "Nicole", "gender": "Female", "npi": "1467009126", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "112578", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychoeducational Groups,Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,LGBTQ+,Suicide Assessment and Prevention,Impulse-Control Disorders,Linkage and Referrals,Adolescent,Dialectical Behavior Therapy (DBT),Foster Care,Individual Therapy,Anxiety Disorders,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Children,Interpersonal Therapy,Mindfulness,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care" } ] }, { "last_name": "Boch", "first_name": "Cristina", "gender": "Female", "npi": "1508569146", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mallory", "first_name": "Danny", "middle_name": "Leon", "suffix": "Jr.", "gender": "Male", "npi": "1982980272", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "132578", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Arevalo", "first_name": "My Linh", "middle_name": "Monzon", "gender": "Female", "npi": "1083323232", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "135197", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cabeza", "first_name": "Janelle", "middle_name": "Marie", "gender": "Female", "npi": "1114625829", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSPWXQFG", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Home Visits,Linkage and Referrals" } ] }, { "last_name": "Garcia", "first_name": "Brianna", "gender": "Female", "npi": "1114606431", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Home Based Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Flores", "first_name": "Rosa", "middle_name": "Yadira", "gender": "Female", "npi": "1295591717", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "MPSSUKADOV", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hunt", "first_name": "Robert", "middle_name": "Manton", "gender": "Male", "npi": "1114182623", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bocanegra", "first_name": "Laura", "gender": "Female", "npi": "1528446929", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chang", "first_name": "Tina", "middle_name": "Marie", "gender": "Female", "npi": "1558686584", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "53137", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pineda", "first_name": "Chantille", "middle_name": "Yolanda", "gender": "Female", "npi": "1316790389", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Johnston", "first_name": "Heaven", "middle_name": "Nikol", "gender": "Female", "npi": "1225746613", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Payes", "first_name": "Luis", "middle_name": "Antonio", "gender": "Male", "npi": "1659083558", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Nilo", "gender": "Male", "npi": "1144928441", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Esquivel", "first_name": "Yolanda", "gender": "Female", "npi": "1902672884", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cipriano", "first_name": "Estefania", "gender": "Female", "npi": "1003502360", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Molina", "first_name": "Karina", "gender": "Female", "npi": "1164146015", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Oropeza", "first_name": "Natalia", "gender": "Female", "npi": "1083470918", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT143777", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Rios Navarrete", "first_name": "Rosa", "middle_name": "Linda", "gender": "Female", "npi": "1255079265", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Tucker", "first_name": "Anny", "gender": "Female", "npi": "1518732544", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wallin", "first_name": "Tayelor", "middle_name": "Shawn", "gender": "Female", "npi": "1003454380", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Bonsynat", "first_name": "Somchet", "middle_name": "Chanthy", "gender": "Female", "npi": "1912194093", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Vazquez", "first_name": "Yvetth", "middle_name": "Andrea", "gender": "Female", "npi": "1679267538", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSKLNJAR", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Arnone", "first_name": "Sarah", "middle_name": "Marie", "gender": "Female", "npi": "1548037393", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "288338", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "McCarty", "first_name": "Lauren", "middle_name": "Alyse", "gender": "Female", "npi": "1568220689", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LPT41303", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Cordova", "first_name": "Eranio", "middle_name": "Garchitorena", "suffix": "Jr.", "gender": "Male", "npi": "1386768489", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "29182", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Aguilera Vasquez", "first_name": "Carla", "middle_name": "Julieta", "gender": "Female", "npi": "1164918363", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "33929", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care" } ] }, { "last_name": "Alfaro", "first_name": "Baleska", "middle_name": "Cecilia", "gender": "Female", "npi": "1518328681", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Italian", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT109803", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Alpern", "first_name": "Adrianne", "gender": "Female", "npi": "1932467354", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY28814", "license_type": "Psychologist - PHD-Level", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Cardenas", "first_name": "Esmeralda", "gender": "Female", "npi": "1356656474", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT113258", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Lee", "first_name": "Chungyang", "gender": "Female", "npi": "1790431773", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "137757", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Eberhard Veira", "first_name": "Carolina", "middle_name": "Daniela", "gender": "Female", "npi": "1649440470", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "73541", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Akiyama", "first_name": "Lynda ", "middle_name": "Kay", "gender": "Female", "npi": "1124182175", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "22508", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Perinatal,Adults/Older Adults", "specialties": "Anger Management,Adoption" } ] }, { "last_name": "Galos", "first_name": "Coleburn", "middle_name": "James David", "gender": "Male", "npi": "1871146027", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia Luna", "first_name": "Sury", "middle_name": "Yarely", "gender": "Female", "npi": "1568141158", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Flores", "first_name": "Charlin", "gender": "Female", "npi": "1396318804", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "118934", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Konishi", "first_name": "Carlos", "middle_name": "Yoshiyuki", "gender": "Male", "npi": "1851541684", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Japanese", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY22486", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Martinez", "first_name": "Karina", "gender": "Female", "npi": "1114395746", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT120929", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Reyes", "first_name": "Elisama", "gender": "Female", "npi": "1326729039", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Romain-Stave", "first_name": "Paulette", "middle_name": "Marie", "gender": "Female", "npi": "1043349889", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PSY18624", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Nguyen", "first_name": "Hoang", "middle_name": "Dao", "gender": "Male", "npi": "1841240769", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A69179", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Burgos", "first_name": "Bridget", "middle_name": "Stephanie", "gender": "Female", "npi": "1699224261", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "97834", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Phakousonh", "first_name": "Magaly", "middle_name": "Arlen", "gender": "Female", "npi": "1528678091", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "131656", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Carachure", "first_name": "Daisy", "middle_name": "Alegandra", "gender": "Female", "npi": "1235844994", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153393", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Arreola", "first_name": "Daniel", "gender": "Male", "npi": "1841754900", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136850", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Villalobos", "first_name": "Isabel", "middle_name": "Figueroa", "gender": "Female", "npi": "1093442626", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116458", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Ramirez", "first_name": "Liliana", "middle_name": "Jeanette", "gender": "Female", "npi": "1750097366", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "19688", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Murry", "first_name": "Marit", "middle_name": "Dale", "gender": "Female", "npi": "1114648235", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "36289", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Villasenor", "first_name": "Valerie", "gender": "Female", "npi": "1619452091", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "14290", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cifuentes", "first_name": "Maira", "gender": "Female", "npi": "1285256149", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "128529", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Martinez", "first_name": "Yesenia", "gender": "Female", "npi": "1649986019", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "161346", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Gomez", "first_name": "Rodolfo", "middle_name": "Martin", "gender": "Male", "npi": "1396043329", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LMFT53751", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Montes", "first_name": "Veronica", "middle_name": "Marie", "gender": "Female", "npi": "1609135813", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PSY29382", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Kardos", "first_name": "Daniella", "middle_name": "Maxine Pinedo", "gender": "Female", "npi": "1013684612", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "111934", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Afshar", "first_name": "Aryan", "middle_name": "Humayra", "gender": "Female", "npi": "1679101422", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "160465", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Martinez", "first_name": "Ashley", "middle_name": "Guadalupe", "gender": "Female", "npi": "1922773407", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "160462", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Garcia", "first_name": "Brenda", "gender": "Female", "npi": "1750135604", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145119", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Diaz", "first_name": "Mariah", "middle_name": "Amanda", "gender": "Female", "npi": "1376285221", "taxonomy": "106H00000X;172V00000X", "taxonomy_description": "Marriage & Family Therapist,Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT139292", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bernal", "first_name": "Maria", "middle_name": "Guadalupe", "gender": "Female", "npi": "1447992235", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT139400", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Ngerng", "first_name": "Don", "middle_name": "Chen", "gender": "Male", "npi": "1861170060", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Contreras", "first_name": "Jesenia", "middle_name": "Sugey", "gender": "Female", "npi": "1942765862", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "144289", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Lecarnaque", "first_name": "Letjan", "gender": "Female", "npi": "1619695889", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "158964", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzales", "first_name": "Cassandra", "gender": "Female", "npi": "1336829159", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Youssef", "first_name": "Helen", "middle_name": "Hany", "gender": "Female", "npi": "1356021547", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez", "first_name": "Celeste", "gender": "Female", "npi": "1538694260", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156217", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Hernandez", "first_name": "Kimberly", "middle_name": "Rae", "gender": "Female", "npi": "1891976205", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "131181", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Upson", "first_name": "Lynn", "middle_name": "Marie", "gender": "Female", "npi": "1659155166", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "139986", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Veyseh", "first_name": "Nikkie", "gender": "Female", "npi": "1932708476", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "141577", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Byerly", "first_name": "Alyssa", "middle_name": "Jane", "gender": "Female", "npi": "1972124949", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "36199", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Solis-Flores", "first_name": "Andrea", "middle_name": "Jocelyne", "gender": "Female", "npi": "1255022182", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "147586", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Amiot", "first_name": "Christina", "gender": "Female", "npi": "1770104465", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cuara", "first_name": "Christy", "middle_name": "Marie", "gender": "Female", "npi": "1558048033", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145173", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Fuentes", "first_name": "Genesis", "middle_name": "Daniela", "gender": "Female", "npi": "1194407700", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "158361", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Juvenile Justice,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "Gonzalez Lepe", "first_name": "Henry", "middle_name": "Gabriel", "gender": "Male", "npi": "1306301619", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156680", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Group Therapy,Mood Disorders" } ] }, { "last_name": "McGivern", "first_name": "Jennifer", "middle_name": "Rose", "gender": "Female", "npi": "1376263889", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145376", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Ortega", "first_name": "Kimberly", "gender": "Female", "npi": "1134739352", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "154956", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Guzman", "first_name": "Regina", "middle_name": "Alyssa", "gender": "Female", "npi": "1598455818", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Urdu", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "13362", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Oberly", "first_name": "Thalia", "middle_name": "Giselle", "gender": "Female", "npi": "1598105173", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "150984", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Dang", "first_name": "Cat", "middle_name": "Tran", "gender": "Female", "npi": "1992863955", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "9377", "license_type": "Physician", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Medication Education and Support,Co-Occurring Disorders" } ] }, { "last_name": "Del Castillo", "first_name": "Andrea", "middle_name": "Alessandra", "gender": "Female", "npi": "1932616638", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145517", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Young", "first_name": "Angelika", "gender": "Female", "npi": "1699548636", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "118629", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Swanson", "first_name": "Matthew", "middle_name": "Scott", "gender": "Male", "npi": "1174208409", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "138980", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Barrios", "first_name": "Julie", "gender": "Female", "npi": "1144731845", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Nguyen", "first_name": "Catherine", "middle_name": "Thien Trang", "gender": "Female", "npi": "1487256806", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "118883", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Heyboer", "first_name": "Shaina", "middle_name": "Razail", "gender": "Female", "npi": "1306617352", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "734755", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Walker", "first_name": "Cynthia", "middle_name": "Guadalupe", "gender": "Female", "npi": "1265016026", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "112804", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hamith", "first_name": "Fatima", "middle_name": "Abdul", "gender": "Female", "npi": "1609631258", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "275281", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Murillo", "first_name": "Elisa", "gender": "Female", "npi": "1942701164", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "144823", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tibbits", "first_name": "Nicole", "gender": "Female", "npi": "1306565700", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "35256", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Le", "first_name": "Phybie", "middle_name": "Mai", "gender": "Female", "npi": "1376203182", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "142310", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pena Moran", "first_name": "Yesenia", "middle_name": "Betsabe", "gender": "Female", "npi": "1669255725", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145030", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bautista", "first_name": "Patrice Ysabel", "middle_name": "Robey", "gender": "Female", "npi": "1790379634", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "16172", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Truong", "first_name": "Phi-Nga", "middle_name": "Oai", "gender": "Female", "npi": "1134889843", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "ASW104013", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychoeducational Groups,Solution Focused Therapy,Crisis Intervention Services,Stress Management,Structural Therapy,Case Management,Depressive Disorders,Family Therapy,Immigration Populations,Narrative Therapy,Wellness Recovery Action Plan (WRAP),Suicide Assessment and Prevention,Older Adults,Recovery and Resilience Models,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Dialectical Behavior Therapy (DBT),Individual Therapy,Recovery Based Treatment Planning,Eye Movement Desensitization and Reprocessing,Gestalt Therapy,Anxiety Disorders,Grief & Bereavement,Trauma and Stress Related Disorders,Aging,Interpersonal Therapy,Mindfulness,Personality Disorders,Rehabilitation Counseling,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care,Severe and Persistent Mental Illness (SPMI),Motivational Interviewing (MI)" } ] }, { "last_name": "Ruelas", "first_name": "Erick", "middle_name": "Santiago", "gender": "Male", "npi": "1134899222", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "111186", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Bao-Nhan", "middle_name": "Benjamin", "gender": "Male", "npi": "1205314358", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A164465", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A164465", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Arriaga", "first_name": "Edgar", "gender": "Female", "npi": "1528795515", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bastani", "first_name": "Mahasta", "gender": "Female", "npi": "1639880297", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "273509", "license_type": "Licensed Vocational Nurses", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "273509", "license_type": "Licensed Vocational Nurses", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "273509", "license_type": "Licensed Vocational Nurses", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Noble", "first_name": "Ethan", "middle_name": "Baldwin", "gender": "Male", "npi": "1629788724", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "151742", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Eye Movement Desensitization and Reprocessing,Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Moreno", "first_name": "Karen", "gender": "Female", "npi": "1609593805", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Teshiba", "first_name": "Allison", "middle_name": "Isako", "gender": "Female", "npi": "1780461673", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "140949", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lehman", "first_name": "Lance", "middle_name": "Talbott", "gender": "Male", "npi": "1144801440", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A186392", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Crisis Intervention Services,Depressive Disorders,Eating Disorders,Bipolar Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Alvarado", "first_name": "Monica", "gender": "Female", "npi": "1578345328", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "736663", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "736663", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mesa", "first_name": "Cassandra", "middle_name": "Lynn", "gender": "Female", "npi": "1346514056", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Irwin", "first_name": "Lisa", "middle_name": "Marie", "gender": "Female", "npi": "1033578299", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSLNJIYB", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Assertive Community Treatment (ACT)" } ] }, { "last_name": "Marin", "first_name": "Maria", "middle_name": "Jesus", "gender": "Female", "npi": "1740531268", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSRHWKFC", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Assertive Community Treatment (ACT),Certified WRAP Trainer" } ] }, { "last_name": "Holloway", "first_name": "Ashley", "middle_name": "Lauren", "gender": "Female", "npi": "1013567437", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hilario", "first_name": "Lizeth", "gender": "Female", "npi": "1598440646", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Segura", "first_name": "Sarah", "middle_name": "Ilene", "gender": "Female", "npi": "1700477817", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Victor", "first_name": "Corinne", "gender": "Female", "npi": "1588354625", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Paez", "first_name": "Irma", "gender": "Female", "npi": "1043996515", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Costello", "first_name": "Erin", "middle_name": "Raye", "gender": "Female", "npi": "1508592544", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145150", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Case Management,Family Therapy,Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Galeana", "first_name": "Genesis", "gender": "Female", "npi": "1992486450", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortiz Vallejo", "first_name": "Sandra", "middle_name": "Nayeli", "gender": "Female", "npi": "1568245157", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116277", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Obsessive Compulsive Disorders and Related Disorders,Individual Therapy,Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Bystry", "first_name": "Susan", "middle_name": "Oakson", "gender": "Female", "npi": "1699796383", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-03-31", "license_number": "PSY17015", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Family Therapy" } ] }, { "last_name": "De Haro", "first_name": "Melanie", "gender": "Female", "npi": "1801366547", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "McGill", "first_name": "Lane", "gender": "Female", "npi": "1225054620", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Older Adults,Pacific Asian,Teens,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "39705", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Assertive Community Treatment (ACT),Co-Occurring Disorders,Strengths-Based Care,Crisis Intervention Services,Case Management,Recovery and Resilience Models,Schizophrenia Spectrum and Other Psychotic Disorders,Dialectical Behavior Therapy (DBT),Recovery Based Treatment Planning,Low Income Populations,LPS 5150/5585 Designated Staff,Aging,Group Therapy,LPS Conservatorship,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Person-Centered Therapy" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "39705", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Collaborative Court Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 NORTH BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Cognitive Behavioral Therapy (CBT),Dialectical Behavior Therapy (DBT),Group Therapy,LPS Conservatorship,Person-Centered Therapy,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Recovery Based Treatment Planning,Strengths-Based Care,Co-Occurring Disorders,Assertive Community Treatment (ACT),Case Management,Crisis Intervention Services,Recovery and Resilience Models,Schizophrenia Spectrum and Other Psychotic Disorders,Low Income Populations,LPS 5150/5585 Designated Staff" } ] }, { "last_name": "Mizuta", "first_name": "Charlotte", "middle_name": "Maria Primo", "gender": "Female", "npi": "1437791381", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95012967", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education, Management, and Support,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Stratton", "first_name": "Katherine", "middle_name": "Lynn", "gender": "Female", "npi": "1649745423", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "154064", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Seeking Safety,Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care" } ] }, { "last_name": "Jimenez Benitez", "first_name": "Perla", "gender": "Female", "npi": "1932790151", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Singh", "first_name": "Jaipreet", "gender": "Male", "npi": "1346090768", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Hindi", "fluency": "Fluent" }, { "language": "Punjabi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "726893", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Psychoeducational Groups,CPR/First Aid Certified,Case Management,Recovery and Resilience Models,Medication Education and Support,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Muniz Ochoa", "first_name": "Maira", "middle_name": "Alejandra", "gender": "Female", "npi": "1750006433", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nafir", "first_name": "Tina", "gender": "Female", "npi": "1710663489", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Padilla", "first_name": "Cesar", "middle_name": "David", "gender": "Male", "npi": "1578291662", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Galindo Martinez", "first_name": "Guadalupe", "middle_name": "Virginia", "gender": "Female", "npi": "1861152993", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "115762", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Group Therapy,Mood Disorders" } ] }, { "last_name": "Ramirez", "first_name": "Alejandra", "gender": "Female", "npi": "1376019497", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mendez", "first_name": "Liliana", "gender": "Female", "npi": "1659914760", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "111744", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Rimoldi", "first_name": "Emily", "gender": "Female", "npi": "1902522287", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schenck", "first_name": "Emily", "middle_name": "Christina", "gender": "Female", "npi": "1831765544", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Toledo", "first_name": "Brianna", "middle_name": "Danielle", "gender": "Female", "npi": "1770265670", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Anzalone", "first_name": "Christopher", "middle_name": "Joseph", "gender": "Male", "npi": "1740908946", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Older Adults,Chicano American,European-American,Gangs,HIV/AIDS,Iranian,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Native American,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "147962", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults,Older Adults", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Addiction,Adolescent,Anxiety Disorders,Aging,Anger Management,,Applied Behavioral Analysis (ABA),Asian and Pacific Islander Community,Assertive Community Treatment (ACT),Attention Deficit Hyperactivity Disorder (ADHD),Board Certified,CPR/First Aid Certified,Dialectical Behavior Therapy (DBT),Criminal Justice,Stress Management,Crisis Intervention Services,Critical Incident Assessment,Depressive Disorders,Developmental and Behavioral Pediatrics,Women's Issues,Wellness Recovery Action Plan (WRAP),Vocational/Educational Support,Trauma Informed Care,Veteran's/ Military Lifestyle Issues,Transgender, Gender Diverse, and Intersex (TGI)" } ] }, { "last_name": "Franklin", "first_name": "Therese", "middle_name": "Barbro", "gender": "Female", "npi": "1417658659", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ASW111098", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ASW111098", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" } ] }, { "last_name": "Sasaki", "first_name": "Robb", "middle_name": "Sentai", "gender": "Male", "npi": "1508645623", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "40592", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "40592", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" } ] }, { "last_name": "Campellone", "first_name": "Victoria", "gender": "Female", "npi": "1508623745", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Akal", "first_name": "Kenneth", "middle_name": "Omondi", "gender": "Male", "npi": "1265143986", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Leon Ortiz", "first_name": "Yuliana", "gender": "Female", "npi": "1104547314", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thor", "first_name": "Dany", "middle_name": "Jessica", "gender": "Female", "npi": "1699491860", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95021768", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Adults,Older Adults", "specialties": "Aging" } ] }, { "last_name": "Garcia", "first_name": "Alexzandria", "gender": "Female", "npi": "1457077893", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Antonia", "gender": "Female", "npi": "1013541424", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Onaga", "first_name": "Courtney", "middle_name": "Hatsuko", "gender": "Female", "npi": "1003466970", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jacildo", "first_name": "Richard", "gender": "Male", "npi": "1598222648", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Killough", "first_name": "Allison", "middle_name": "Joy", "gender": "Female", "npi": "1053190181", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "20859", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sandoval", "first_name": "Astrid", "middle_name": "Beatriz", "gender": "Female", "npi": "1841953700", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ariano", "first_name": "Ida", "gender": "Female", "npi": "1932356268", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "139992", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Eye Movement Desensitization and Reprocessing,Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Cho-Zollinger", "first_name": "Jae", "gender": "Female", "npi": "1871348854", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "106367", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "HORGAN", "first_name": "Linda", "middle_name": "Ann", "gender": "Female", "npi": "1467687954", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "13306", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Han", "first_name": "Thein", "middle_name": "Htun", "gender": "Male", "npi": "1760457808", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A82881", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lavini", "first_name": "Claudia", "gender": "Female", "npi": "1528746716", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Mindfulness" } ] }, { "last_name": "Bruns", "first_name": "Bryan", "middle_name": "Edward", "gender": "Male", "npi": "1437184975", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G29642", "license_type": "Physician", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Romo", "first_name": "Kimberly", "middle_name": "Alexandra", "gender": "Female", "npi": "1982040283", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "106412", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Quimbayo-Salvatierra", "first_name": "Maria", "middle_name": "Angelica", "gender": "Female", "npi": "1609043173", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "98264", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "Depressive Disorders,Individual Therapy,Children,Mood Disorders" } ] }, { "last_name": "Amog", "first_name": "Christine", "gender": "Female", "npi": "1588443295", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vizcarra", "first_name": "Andrew", "middle_name": "Jorge", "gender": "Male", "npi": "1407512163", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West MHSA", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Myung", "first_name": "Alice", "gender": "Female", "npi": "1326624438", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West MHSA", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sotelo-Ortiz", "first_name": "Cynthia", "middle_name": "Nalleli", "gender": "Female", "npi": "1437420890", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North MHSA", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Von Boeckmann", "first_name": "Mclea", "middle_name": "Luisa Pamela", "gender": "Female", "npi": "1588277909", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North MHSA", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Miramontes", "first_name": "Rallo", "gender": "Male", "npi": "1518092378", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North MHSA", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trevilla", "first_name": "Anabel", "gender": "Female", "npi": "1114708377", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "119786", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Alvarado", "first_name": "Cynthia", "middle_name": "Marie", "gender": "Female", "npi": "1568884880", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "119846", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Von Luft", "first_name": "Kevin", "middle_name": "David", "gender": "Male", "npi": "1376953067", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "137494", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Leonesio", "first_name": "Stephanie", "middle_name": "Lorriane", "gender": "Female", "npi": "1013638121", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW117689", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Crisis Intervention Services,Case Management" } ] }, { "last_name": "Nguyen", "first_name": "Lena", "gender": "Female", "npi": "1457129017", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "118602", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Crisis Intervention Services" } ] }, { "last_name": "Montanez", "first_name": "Joseph", "gender": "Male", "npi": "1245667849", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Case Management" } ] }, { "last_name": "Sevilla", "first_name": "Daisy", "gender": "Female", "npi": "1538615315", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Co-Occurring Disorders,Crisis Intervention Services,Case Management" } ] }, { "last_name": "Huynh", "first_name": "Cuong", "middle_name": "Chi", "gender": "Male", "npi": "1164106571", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Asian/Pacific Islander,Bicultural/Multicultural issues,Co-Occurring Disorders,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Jose", "middle_name": "H", "suffix": "Jr", "gender": "Male", "npi": "1790874766", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Case Management" } ] }, { "last_name": "Walker", "first_name": "Austin", "middle_name": "Thomas", "gender": "Female", "npi": "1871228577", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Yako", "first_name": "Chanel", "middle_name": "Sabah", "gender": "Female", "npi": "1699230805", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "118928", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dirks", "first_name": "Jessica", "middle_name": "Amber", "gender": "Female", "npi": "1245790120", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "97262", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Saravia", "first_name": "Kristian", "middle_name": "Diego", "gender": "Female", "npi": "1215413331", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bey", "first_name": "Lani", "gender": "Female", "npi": "1366120990", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "152959", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Community Care Coordinator,Attention Deficit Hyperactivity Disorder (ADHD),Co-Occurring Disorders,Behavioral Modification,Case Management,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Anxiety Disorders,Applied Behavioral Analysis (ABA)" } ] }, { "last_name": "Harris", "first_name": "Lindsay", "middle_name": "Grayce", "gender": "Female", "npi": "1932979945", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "720814", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "Adults", "specialties": "Anxiety Disorders,,Schizophrenia Spectrum and Other Psychotic Disorders,Applied Behavioral Analysis (ABA),Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Bipolar Disorders,Case Management,Community Care Coordinator,Co-Occurring Disorders" } ] }, { "last_name": "Vaala ", "first_name": "Paul", "middle_name": "Thomas", "gender": "Male", "npi": "1467180331", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Deopante", "first_name": "Ronald", "middle_name": "Aaron", "gender": "Male", "npi": "1306605639", "taxonomy": "171M00000X", "taxonomy_description": "Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Acosta", "first_name": "Sarah", "gender": "Female", "npi": "1922708809", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123051", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Valles", "first_name": "Skylar", "middle_name": "Scott", "gender": "Male", "npi": "1033694237", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "100714", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Demateo", "first_name": "Maria", "middle_name": "De Jesus", "gender": "Female", "npi": "1801352893", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "143799", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Eslami", "first_name": "Mojdeh", "middle_name": "Susan", "gender": "Female", "npi": "1134809437", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "105496", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Favela", "first_name": "Crystal", "middle_name": "Janet", "gender": "Female", "npi": "1285106161", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Loo", "first_name": "Aja", "middle_name": "Wei", "gender": "Female", "npi": "1871123323", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "113688", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Briana", "middle_name": "Celeste", "gender": "Female", "npi": "1962133652", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117446", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Christine", "gender": "Female", "npi": "1700563483", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117500", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jauregui", "first_name": "Cynthia", "gender": "Female", "npi": "1265166805", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "119810", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Murillo", "first_name": "Jeremiah", "gender": "Male", "npi": "1538846217", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "APCC13495", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "ONeill", "first_name": "Kierran", "middle_name": "Nicole", "gender": "Female", "npi": "1235787029", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "14288", "license_type": "Associate Professional Clinical Counselor", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez", "first_name": "Leslie", "middle_name": "Denise", "gender": "Female", "npi": "1437830379", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chukuka", "first_name": "Deedee", "middle_name": "Edomwande", "gender": "Female", "npi": "1154104982", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95028233", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Depressive Disorders,Individual Therapy,Children,Mood Disorders" } ] }, { "last_name": "Navarro Ramirez", "first_name": "Elianeth", "middle_name": "Jazmin", "gender": "Female", "npi": "1851070247", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "116480", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Vu", "first_name": "Van", "middle_name": "Ngoc", "gender": "Female", "npi": "1164150900", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ACSW117343", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Marshall", "first_name": "Richanne", "middle_name": "Elizabeth", "gender": "Female", "npi": "1952582363", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adoptees,Adults,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,HIV/AIDS,Justice Involved,LGBTQ+,Multicultural,Multiracial,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "49882", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Attention Deficit Hyperactivity Disorder (ADHD),Community Education and Outreach,Co-Occurring Disorders,Socialization Groups,Couple's Therapy,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,Juvenile Justice,Katie A. Services,LGBTQ+,Suicide Assessment and Prevention,Supporting Survivors,Supportive Employment,Addiction,Bereavement,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Schizophrenia Spectrum and Other Psychotic Disorders,Victim Awareness,Women's Issues,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Foster Care,Homeless Outreach,Individual Therapy,Parenting Skills,School Based,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Child Development,Human Trafficking,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,Domestic Violence Treatment,LPS 5150/5585 Designated Staff,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Group Therapy,Mindfulness,Mood Disorders,Seriously Emotionally Disturbed (SED),Trauma Informed Care" } ] }, { "last_name": "Ramos", "first_name": "Laura", "middle_name": "Cecilia", "gender": "Female", "npi": "1740586056", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Geriatric Issues,Law Enforcement,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117269", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Children/Youth,Transitional Aged Youth,Adolescents,Adults", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Depressive Disorders,Foster Care,Group Therapy,Home Visits,Katie A. Services" } ] }, { "last_name": "Bautista", "first_name": "Monica", "middle_name": "Mishelle", "gender": "Female", "npi": "1104257500", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Geriatric Issues,Law Enforcement,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "109949", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Children/Youth,Transitional Aged Youth,Adolescents,Adults", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Depressive Disorders,Foster Care,Group Therapy,Home Visits,Katie A. Services" } ] }, { "last_name": "Merlino", "first_name": "Nancy", "middle_name": "Adriana", "gender": "Female", "npi": "1336339233", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved,Law Enforcement,LGBTQ+,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW81774", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Criminal Justice,Depressive Disorders,Home Visits,Impulse-Control Disorders,Juvenile Justice,Katie A. Services" } ] }, { "last_name": "Taha", "first_name": "Sarah", "middle_name": "Alexandrea", "gender": "Female", "npi": "1407336019", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Geriatric Issues,Law Enforcement,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "100059", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Children/Youth,Transitional Aged Youth,Adolescents,Adults", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Depressive Disorders,Foster Care,Group Therapy,Home Visits,Katie A. Services" } ] }, { "last_name": "Ortiz", "first_name": "Vanessa", "middle_name": "Lorena", "gender": "Female", "npi": "1457651820", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Geriatric Issues,Law Enforcement,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "137251", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Children/Youth,Transitional Aged Youth,Adolescents,Adults", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Depressive Disorders,Foster Care,Group Therapy,Home Visits,Katie A. Services" } ] }, { "last_name": "Lopez", "first_name": "Esperanza", "gender": "Female", "npi": "1841744349", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MFT148877", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barragan", "first_name": "Analleli", "gender": "Female", "npi": "1487386967", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Law Enforcement,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153018", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Clark", "first_name": "Alexandra", "middle_name": "Elyse", "gender": "Female", "npi": "1386155182", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117235", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Depressive Disorders,Juvenile Justice,Katie A. Services,Adolescent,Individual Therapy,Human Trafficking,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,Trauma and Stress Related Disorders,Mood Disorders" } ] }, { "last_name": "Acosta", "first_name": "Cecilia", "middle_name": "Rosete", "gender": "Female", "npi": "1255853123", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,HIV/AIDS,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Multicultural,Multilingual,Multiracial,Native American,Older Adults,Pacific Asian,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Community Education and Outreach,Psychoeducational Groups,Socialization Groups,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Immigration Populations,Suicide Assessment and Prevention,Supporting Survivors,Supportive Employment,Home Visits,Linkage and Referrals,Victim Awareness,Women's Issues,Homeless Outreach,Parenting Skills,Transgender, Gender Diverse, and Intersex (TGI),Child Development,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Children,Mindfulness,Anger Management,Trauma Informed Care" } ] }, { "last_name": "Estrada", "first_name": "Erica", "middle_name": "Elisa", "gender": "Female", "npi": "1700541166", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barcellona", "first_name": "Brent", "middle_name": "Anthony", "gender": "Male", "npi": "1265698500", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Multicultural,Multilingual,Multiracial,Pacific Asian,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "107180", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Criminal Justice,Depressive Disorders,Home Visits,Impulse-Control Disorders,Juvenile Justice,Katie A. Services" } ] }, { "last_name": "Marquez-Munoz", "first_name": "Alejandra", "gender": "Female", "npi": "1356863195", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Eduardo", "gender": "Male", "npi": "1487237384", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Muro", "first_name": "Yvette", "middle_name": "Myra", "gender": "Female", "npi": "1992226146", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Chicano American,Children and Adolescents,Children and Youth,Dual Diagnosis,Foster Home Youth,Teens,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Co-Occurring Disorders,Case Management" } ] }, { "last_name": "Paz Garcia", "first_name": "Margarita", "gender": "Female", "npi": "1245800630", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Multicultural,Multiracial,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Community Education and Outreach,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Substance Use Disorder (SUD) Services and Education,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Depressive Disorders,Juvenile Justice,Addiction,Educational Related Mental Health Services,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Victim Awareness,Adolescent,Child and Family Meeting (CFT),Human Trafficking,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Domestic Violence Treatment,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Ramirez", "first_name": "Alejandro", "gender": "Male", "npi": "1780980474", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Estrada", "first_name": "Clara", "middle_name": "Melissa", "gender": "Female", "npi": "1700509742", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ho", "first_name": "Vyona", "gender": "Female", "npi": "1831655620", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW129729", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Mocias", "first_name": "Seleste", "middle_name": "Alicia", "gender": "Female", "npi": "1740901297", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved,Law Enforcement,LGBTQ+,Teens,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156424", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Neri-Romero", "first_name": "Jocelyn", "gender": "Female", "npi": "1972289585", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Case Management,Depressive Disorders,Home Visits,Linkage and Referrals,Adolescent,Parenting Skills,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Rehab/Intensive Home Based Services,Trauma Informed Care" } ] }, { "last_name": "Rocha", "first_name": "Ivette", "gender": "Female", "npi": "1285419796", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Strengths-Based Care,Crisis Intervention Services,Stress Management,Behavioral Modification,Case Management,Juvenile Justice,Impulse-Control Disorders,Adolescent,Child and Family Meeting (CFT),Parenting Skills,School Based,Human Trafficking,Low Income Populations,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Mindfulness,Trauma Informed Care,Phobias" } ] }, { "last_name": "Cauich", "first_name": "Jessica", "gender": "Female", "npi": "1508534702", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adoptees,Adults,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Latino/Latina/LatinX,Law Enforcement,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "152839", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Sleep Disorders,Co-Occurring Disorders,Psychoeducational Groups,Couple's Therapy,Solution Focused Therapy,CPR/First Aid Certified,Somatic/Conversion/Factitious Disorders,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Behavioral Modification,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,Juvenile Justice,Suicide Assessment and Prevention,Neurodevelopmental Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Women's Issues,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Foster Care,Homeless Outreach,Individual Therapy,Long Term Care,Parenting Skills,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Adoption,Child Development,Disabilities,Human Trafficking,Infertility,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,Men's Issues,Rehab/Intensive Home Based Services,Sensitivity to Spirituality Practices,Trauma and Stress Related Disorders,Aging,Children,Group Therapy,LPS Conservatorship,Mindfulness,Personality Disorders,Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care" } ] }, { "last_name": "Martinez", "first_name": "Alexander", "gender": "Male", "npi": "1447018452", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ayala-Rios", "first_name": "Aylin", "gender": "Female", "npi": "1477269397", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "12921", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Transitional Aged Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services" } ] }, { "last_name": "Avila", "first_name": "Heather", "middle_name": "Joy", "gender": "Female", "npi": "1962867705", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95875", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ly", "first_name": "Brigitte", "middle_name": "Juhasz", "gender": "Female", "npi": "1366776874", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved,Law Enforcement,LGBTQ+,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "77077", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Criminal Justice,Depressive Disorders,Home Visits,Impulse-Control Disorders,Juvenile Justice,Katie A. Services" } ] }, { "last_name": "Fagan", "first_name": "Ashley", "middle_name": "Christina", "gender": "Female", "npi": "1144940453", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Law Enforcement,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "148323", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Autism Spectrum Disorders,Co-Occurring Disorders,Strengths-Based Care,Crisis Intervention Services,Stress Management,Substance Use Disorder (SUD) Services and Education,Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,LGBTQ+,Suicide Assessment and Prevention,Linkage and Referrals,Women's Issues,Adolescent,Child and Family Meeting (CFT),Foster Care,Homeless Outreach,Individual Therapy,Adoption,Child Development,Eye Movement Desensitization and Reprocessing,Transitional Age Youth (TAY),Anxiety Disorders,Trauma and Stress Related Disorders,LPS Conservatorship,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Mood Disorders,Person-Centered Therapy,Trauma Informed Care" } ] }, { "last_name": "Vanek", "first_name": "Izabella", "middle_name": "Marie", "gender": "Female", "npi": "1669103701", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "19698", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rios", "first_name": "Viridiana", "middle_name": "Alonso", "gender": "Female", "npi": "1154661130", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Multicultural,Multilingual,Multiracial,Native American,Pacific Asian,Teens,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "133424", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Strengths-Based Care,Crisis Intervention Services,Case Management,Depressive Disorders,Family Therapy,Juvenile Justice,Suicide Assessment and Prevention,Individual Therapy,Eye Movement Desensitization and Reprocessing,Low Income Populations,Anxiety Disorders,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Person-Centered Therapy,Trauma Informed Care" } ] }, { "last_name": "Ibarra", "first_name": "Mary", "middle_name": "Carmen Castrejon", "gender": "Female", "npi": "1043993827", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Gangs,Justice Involved,Latino/Latina/LatinX,Multicultural,Teens,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117320", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Transitional Aged Youth", "specialties": "Juvenile Justice,LGBTQ+,Adolescent,Individual Therapy,Transitional Age Youth (TAY),Anxiety Disorders,Trauma and Stress Related Disorders,Anger Management" } ] }, { "last_name": "Garcia", "first_name": "Michelle", "gender": "Female", "npi": "1235697947", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Criminal Justice,Adolescent,Child and Family Meeting (CFT),Transitional Age Youth (TAY)" } ] }, { "last_name": "Gomez", "first_name": "Nancy", "gender": "Female", "npi": "1699318790", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Montenegro Gonzalez", "first_name": "Ligia", "gender": "Female", "npi": "1063169878", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Foster Home Youth,Gangs,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Multicultural,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Co-Occurring Disorders,Psychoeducational Groups,Socialization Groups,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Case Management,Juvenile Justice,LGBTQ+,Victim Awareness,Women's Issues,Adolescent,Child and Family Meeting (CFT),Foster Care,Homeless Outreach,Parenting Skills,Vocational/Educational Support,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Domestic Violence Treatment,Rehab/Intensive Home Based Services,Sensitivity to Spirituality Practices,Trauma and Stress Related Disorders,Mindfulness,Trauma Informed Care" } ] }, { "last_name": "Mondragon Mares", "first_name": "Eder", "gender": "Male", "npi": "1639678584", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Dual Diagnosis,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Teens,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Co-Occurring Disorders,Psychoeducational Groups,Socialization Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Family Therapy,Juvenile Justice,Wellness Recovery Action Plan (WRAP),Suicide Assessment and Prevention,Supporting Survivors,Supportive Employment,Addiction,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Schizophrenia Spectrum and Other Psychotic Disorders,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Individual Therapy,Medication Education and Support,Parenting Skills,Eye Movement Desensitization and Reprocessing,Low Income Populations,Medication Education, Management, and Support,Transitional Age Youth (TAY),Anxiety Disorders,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Mindfulness,Rehabilitation Counseling,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Perez", "first_name": "Alejandro", "gender": "Male", "npi": "1902533250", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rivera", "first_name": "Madelyn", "middle_name": "Aurora", "gender": "Female", "npi": "1437894268", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez Leon", "first_name": "Alberto", "middle_name": "Enriquez", "gender": "Male", "npi": "1760023113", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Aging,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Multicultural,Multilingual,Multiracial,Older Adults,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Community Education and Outreach,Crisis Intervention Services,Behavioral Modification,Case Management,Juvenile Justice,LGBTQ+,Wellness Recovery Action Plan (WRAP),Bereavement,Home Visits,Impulse-Control Disorders,Neurodevelopmental Disorders,Recovery and Resilience Models,Victim Awareness,Women's Issues,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Parenting Skills,Recovery Based Treatment Planning,School Based,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Child Development,Disabilities,Low Income Populations,Transitional Age Youth (TAY),Men's Issues,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Aging,Children,Mindfulness,Personality Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Victor", "first_name": "Cristian", "gender": "Male", "npi": "1194484147", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Transitional Aged Youth", "specialties": "Stress Management,Case Management,Transitional Age Youth (TAY),Rehabilitation Counseling" } ] }, { "last_name": "Vieyra", "first_name": "Andrew", "gender": "Male", "npi": "1881289544", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Chicano American,Children and Youth,Dual Diagnosis,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Multicultural,Multilingual,Teens,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Education and Outreach,Psychoeducational Groups,Socialization Groups,CPR/First Aid Certified,Crisis Intervention Services,Stress Management,Behavioral Modification,Case Management,Depressive Disorders,Immigration Populations,Juvenile Justice,Linkage and Referrals,Child and Family Meeting (CFT),Foster Care,Homeless Outreach,Child Development,Low Income Populations,Anxiety Disorders,Rehab/Intensive Home Based Services,Children" } ] }, { "last_name": "Victor", "first_name": "Joselyn", "middle_name": "Marie", "gender": "Female", "npi": "1902497282", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Adults/Older Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Crisis Intervention Services,Stress Management,Substance Use Disorder (SUD) Services and Education,Behavioral Modification,Case Management,Rehab/Intensive Home Based Services,Mindfulness,Rehabilitation Counseling,Anger Management" } ] }, { "last_name": "Molina Rodriguez", "first_name": "Lesli", "middle_name": "Ivette", "gender": "Female", "npi": "1730806944", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Community Education and Outreach,Co-Occurring Disorders,Socialization Groups,Crisis Intervention Services,Stress Management,Critical Incident Assessment,Behavioral Modification,Case Management,Immigration Populations,Juvenile Justice,LGBTQ+,Supportive Employment,Addiction,Home Visits,Linkage and Referrals,Victim Awareness,Adolescent,Child and Family Meeting (CFT),Homeless Outreach,Medication Education and Support,Parenting Skills,School Based,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Low Income Populations,Medication Education, Management, and Support,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Mindfulness,Trauma Informed Care" } ] }, { "last_name": "Murray", "first_name": "Stephanie", "gender": "Female", "npi": "1710604608", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "112636", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Ammann", "first_name": "Samantha", "middle_name": "Nicole", "gender": "Female", "npi": "1538758354", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Geriatric Issues,Justice Involved,Latino/Latina/LatinX,Multicultural,Multiracial,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Transitional Aged Youth", "specialties": "Community Education and Outreach,Criminal Justice,Case Management,Juvenile Justice,Supportive Employment,Linkage and Referrals,School Based,Low Income Populations,Transitional Age Youth (TAY),Mindfulness,Trauma Informed Care" } ] }, { "last_name": "Ramirez", "first_name": "Karen", "middle_name": "Aylen", "gender": "Female", "npi": "1023719663", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Multicultural,Multilingual,Multiracial,Native American,Pacific Asian,Teens,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Transitional Aged Youth", "specialties": "Community Care Coordinator,Community Education and Outreach,Criminal Justice,Strengths-Based Care,Case Management,Child and Family Meeting (CFT),Transitional Age Youth (TAY)" } ] }, { "last_name": "Herrera", "first_name": "Brenda", "gender": "Female", "npi": "1033790571", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Multicultural,Multilingual,Multiracial,Native American,Pacific Asian,Physically Disabled,Teens,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Adults/Older Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Community Education and Outreach,Autism Spectrum Disorders,Co-Occurring Disorders,Socialization Groups,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Behavioral Modification,Case Management,Depressive Disorders,LGBTQ+,Supportive Employment,Educational Related Mental Health Services,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Schizophrenia Spectrum and Other Psychotic Disorders,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Medication Education and Support,Parenting Skills,School Based,Child Development,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Rehab/Intensive Home Based Services,Children,Mindfulness,Personality Disorders,Anger Management,Mood Disorders" } ] }, { "last_name": "Ho", "first_name": "David", "gender": "Male", "npi": "1477084747", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Cantonese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "115694", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Sanchez", "first_name": "Yesenia", "gender": "Female", "npi": "1801679790", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Chicano American,Children and Youth,Latino/Latina/LatinX,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Community Education and Outreach,Stress Management,Impulse-Control Disorders,Rehab/Intensive Home Based Services,Trauma Informed Care" } ] }, { "last_name": "Le", "first_name": "Lucy", "gender": "Female", "npi": "1104558964", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ASW115543", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Family Therapy,Educational Related Mental Health Services,Anger Management,Aging,Crisis Intervention Services" } ] }, { "last_name": "Mikhael", "first_name": "Magdi", "middle_name": "S", "gender": "Male", "npi": "1790844363", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" }, { "language": "French", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A52675", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Family Therapy,Anger Management,Aging,Crisis Intervention Services" } ] }, { "last_name": "Nguyen", "first_name": "Thuong-Phuong", "middle_name": "Arvid", "gender": "Male", "npi": "1093009565", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A129063", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Family Therapy,Anger Management,Aging,Crisis Intervention Services" } ] }, { "last_name": "Truong", "first_name": "Alexander", "middle_name": "Hoang", "gender": "Male", "npi": "1457918559", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A176831", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Vo", "first_name": "Minh", "middle_name": "Ngoc Phuong", "gender": "Female", "npi": "1366294548", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT145788", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Family Therapy,Juvenile Justice" } ] }, { "last_name": "Truong", "first_name": "Ha", "middle_name": "Khanh", "gender": "Female", "npi": "1598262297", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Duarte", "first_name": "Vanessa", "gender": "Female", "npi": "1982205027", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "142377", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Motivational Interviewing (MI),Trauma Informed Care,Adoption,Foster Care,Transitional Age Youth (TAY)" } ] }, { "last_name": "Vuong", "first_name": "Leon", "gender": "Male", "npi": "1477231058", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortiz-Marmolejo", "first_name": "Ailene", "gender": "Female", "npi": "1568079754", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123948", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Giselle", "middle_name": "Romero", "gender": "Female", "npi": "1710587423", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT145221", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care" } ] }, { "last_name": "Nguyen", "first_name": "KimChuyen", "middle_name": "Thi", "gender": "Female", "npi": "1285820191", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ngo", "first_name": "John", "gender": "Male", "npi": "1609398072", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Yang", "first_name": "Chun", "middle_name": "Tuan", "gender": "Female", "npi": "1235909086", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "APCC14212", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care" } ] }, { "last_name": "Garcia", "first_name": "Jennifer", "gender": "Female", "npi": "1093590663", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Padayachee", "first_name": "Melissa", "gender": "Female", "npi": "1386830172", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "47471", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Seeking Safety,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Adoption,Transitional Age Youth (TAY),Foster Care" } ] }, { "last_name": "Briseno-Colunga", "first_name": "Sarah", "middle_name": "Gabrielle", "gender": "Female", "npi": "1053191759", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "141203", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Franco", "first_name": "Vancleiber", "gender": "Male", "npi": "1689328510", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Portuguese", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "129071", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,LGBTQ+,Individual Therapy" } ] }, { "last_name": "Linares", "first_name": "Debbie", "middle_name": "Alejandra", "gender": "Female", "npi": "1609173871", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "108766", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Individual Therapy" } ] }, { "last_name": "Granese", "first_name": "Richard", "gender": "Male", "npi": "1437175189", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A83535", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-4406", "phone": "(657) 276-7030", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "83535", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lara", "first_name": "Jaqueline", "middle_name": "Diane", "gender": "Female", "npi": "1356791859", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123749", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-4406", "phone": "(657) 276-7030", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123749", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Resendiz", "first_name": "Antonio", "middle_name": "D", "gender": "Male", "npi": "1255908992", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135146", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-4406", "phone": "(657) 276-7030", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135146", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Amber", "gender": "Female", "npi": "1891294534", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "40419", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lasala-Lopez", "first_name": "Anna", "middle_name": "Ginna", "gender": "Female", "npi": "1356911549", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "27201", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "27201", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Millan", "first_name": "Johana", "middle_name": "Eriselda", "gender": "Female", "npi": "1043843287", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "724597", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Lopez", "first_name": "Carmelina", "middle_name": "A", "gender": "Female", "npi": "1053080408", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "259040", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-4406", "phone": "(657) 276-7030", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Warikoo", "first_name": "Nisha", "gender": "Female", "npi": "1306164462", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A123598", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ASANA INTEGRATED MEDICAL GROUP PC", "entity": "00F30", "npi2": "1396783379", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "6200 CANOGA AVE", "address_line_2": "108", "city": "WOODLAND HILLS", "state": "CA", "zip_code": "91367-7793", "phone": "818-532-1297", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Aiyer", "first_name": "Rohit", "middle_name": "Sanjeev", "gender": "Male", "npi": "1801207014", "taxonomy": "2084P2900X", "taxonomy_description": "Psychiatry & Neurology Pain Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A176800", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Aliji", "first_name": "Narmin", "gender": "Female", "npi": "1811288822", "taxonomy": "2084P0804X", "taxonomy_description": "Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A129727", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Asombrado", "first_name": "Doris", "middle_name": "Lourdes", "gender": "Female", "npi": "1992778666", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "439207", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Chumpitaz", "first_name": "Pamela", "gender": "Female", "npi": "1528424173", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95006114", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fazil", "first_name": "Mariam", "gender": "Female", "npi": "1235827429", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95024966", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Illescas", "first_name": "Cindy", "gender": "Female", "npi": "1720449358", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95002098", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Ksendz", "first_name": "Pavel", "gender": "Male", "npi": "1790406882", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95021622", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Meza", "first_name": "Andrea", "middle_name": "Yvette", "gender": "Female", "npi": "1891213914", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95022816", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Olivas", "first_name": "Nicole", "gender": "Female", "npi": "1366030546", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "60496", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Perkins", "first_name": "Samantha", "gender": "Female", "npi": "1790023281", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95001938", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Pham", "first_name": "Ngoc", "gender": "Female", "npi": "1366144180", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95021209", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Silver", "first_name": "Cassandra", "middle_name": "Lynn", "gender": "Female", "npi": "1508347485", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95012192", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Toriola", "first_name": "Abiodun", "gender": "Male", "npi": "1235862780", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95021039", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Turner", "first_name": "Randall", "middle_name": "Glenn", "gender": "Male", "npi": "1164696993", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "10933", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Zamil", "first_name": "Taqialdeen", "gender": "Male", "npi": "1598154478", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95003782", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Bhardwaj", "first_name": "Priti", "gender": "Female", "npi": "1750419230", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "94479", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Cruz", "first_name": "Anna", "middle_name": "Katrina", "gender": "Female", "npi": "1013649482", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95021447", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gheybi", "first_name": "Tatiana", "gender": "Female", "npi": "1487380275", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "61385", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Idrees", "first_name": "Zaheib", "gender": "Male", "npi": "1063837151", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "13624", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kang", "first_name": "Elisha", "gender": "Female", "npi": "1184379596", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "60293", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Kang", "first_name": "Veronica", "middle_name": "Young", "gender": "Female", "npi": "1801815998", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "15804", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Tolentino", "first_name": "James", "gender": "Male", "npi": "1972131761", "taxonomy": "363AM0700X;364SP0808X", "taxonomy_description": "Physician Assistant,Clinical Nurse Specialist Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "58801", "license_type": "Physician Assistants", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Martinez", "first_name": "Brandy", "gender": "Female", "npi": "1235875527", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "62086", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Mejia", "first_name": "Everardo", "gender": "Male", "npi": "1144491259", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "PA19593", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Santillan", "first_name": "Michael", "middle_name": "Steven", "gender": "Male", "npi": "1861139628", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "61412", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Morgan", "first_name": "James", "gender": "Male", "npi": "1639478514", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95002151", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez Ramirez", "first_name": "Veronica", "gender": "Female", "npi": "1144778200", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95004774", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Paganelli", "first_name": "Rachel", "middle_name": "Elizabeth", "gender": "Female", "npi": "1326647413", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "61530", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Phan", "first_name": "Phung", "middle_name": "Ngoc", "gender": "Male", "npi": "1487152534", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95044332", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Powell", "first_name": "Steven", "middle_name": "Wayne", "gender": "Male", "npi": "1477649168", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "C164851", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Castillo", "first_name": "Julio", "middle_name": "Cesar", "gender": "Male", "npi": "1609509587", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "WRONSKI", "first_name": "CRAIG", "middle_name": "JOSEPH", "gender": "Male", "npi": "1841390051", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "5560", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "COLLEGE HOSPITAL, INC.", "entity": "00F30", "npi2": "1225016595", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "283Q00000X", "site_taxonomy_description": "Psychiatric Hospital", "address_line_1": "10802 COLLEGE PL", "city": "CERRITOS", "state": "CA", "zip_code": "90703-1505", "phone": "(562) 924-9581", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "College Hospital Costa Mesa is a facility specializing in psychiatric and medical/surgical services, medication management as well as outpatient, and partial hospitalization programs (PHP’s)" }, "population_served": "Adults,Children/Youth", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "5560", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Yu", "first_name": "Angela", "gender": "Female", "npi": "1366767204", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "118874", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "SCHWARTZ", "first_name": "MICHAEL", "middle_name": "DAVID", "gender": "Male", "npi": "1861584708", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "7992", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "COLLEGE HOSPITAL, INC.", "entity": "00F30", "npi2": "1225016595", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "283Q00000X", "site_taxonomy_description": "Psychiatric Hospital", "address_line_1": "10802 COLLEGE PL", "city": "CERRITOS", "state": "CA", "zip_code": "90703-1505", "phone": "(562) 924-9581", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "College Hospital Costa Mesa is a facility specializing in psychiatric and medical/surgical services, medication management as well as outpatient, and partial hospitalization programs (PHP’s)" }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "7992", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "ROSS", "first_name": "GAIL", "gender": "Female", "npi": "1619043361", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A31936", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "GAIL ROSS", "entity": "00F30", "npi2": "1619043361", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1025 S. ANAHEIM BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-5806", "phone": "(949)6422734", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Dr. Gail Ross, MD is a psychiatrist in Costa Mesa, CA and has over 50 years of experience in the medical field. She graduated from Tufts University in 1974. She is affiliated with medical facilities Anaheim Global Medical Center and College Hospital Costa Mesa and provides medical management." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Nicole", "first_name": "Mesco", "gender": "Female", "npi": "1477313617", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hayakawa", "first_name": "Erissa", "middle_name": "Tallis", "gender": "Female", "npi": "1033961685", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145007", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2035 E. BALL RD.", "address_line_2": "100 & 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145007", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Santa Ana", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145007", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145007", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Transitional Aged Youth", "specialties": "Anxiety Disorders,Bipolar Disorders,Transgender, Gender Diverse, and Intersex (TGI),Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Des Roches", "first_name": "Tor", "middle_name": "Eran ", "gender": "Male", "npi": "1831757863", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "ACSW118943", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Kalantari ", "first_name": "Sheida ", "gender": "Female", "npi": "1881378990", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "AMFT142000", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "YOUSEFI", "first_name": "MAHTAB", "gender": "Female", "npi": "1649613753", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153711", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "MAHTAB YOUSEFI", "entity": "00F30", "npi2": "1649613753", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627-1995", "phone": "(949) 642-2734", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Dr. Mahtab Yousefi, MD is a child & adolescent psychiatrist in Costa Mesa, CA. She is affiliated with College Hospital Costa Mesa and does medication management." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153711", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Fileto", "first_name": "Jennifer", "gender": "Female", "npi": "1831817360", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fenstermaker", "first_name": "Lauren", "middle_name": "Marie", "gender": "Female", "npi": "1023859584", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "146412", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Ruiz", "first_name": "Liliana", "middle_name": "Florencia", "gender": "Female", "npi": "1972229292", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135528", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy,Mood Disorders" } ] }, { "last_name": "Simental", "first_name": "Mayra", "gender": "Female", "npi": "1447886197", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "92375", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy,Mood Disorders" } ] }, { "last_name": "Tsai", "first_name": "Grace", "gender": "Female", "npi": "1053973388", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "119380", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy" } ] }, { "last_name": "Millican", "first_name": "Colleen", "middle_name": "Maren", "gender": "Female", "npi": "1508624156", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145590", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Avilez", "first_name": "Jessica", "middle_name": "Alexandra", "gender": "Female", "npi": "1073173365", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151081", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Azanon", "first_name": "Jose", "gender": "Male", "npi": "1467091330", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Taylor", "first_name": "Lauryn", "middle_name": "Mckinley", "gender": "Female", "npi": "1043807407", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Louie", "first_name": "Brent", "middle_name": "Tyler", "gender": "Male", "npi": "1245897990", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A176497", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Vasquez", "first_name": "Eduardo", "middle_name": "Noe", "gender": "Male", "npi": "1295413615", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kwitny", "first_name": "Jackson", "middle_name": "Charles", "gender": "Male", "npi": "1366123242", "taxonomy": "373H00000X;390200000X", "taxonomy_description": "Day Training/Habilitation Specialist,Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Apodaca", "first_name": "Marleen", "gender": "Female", "npi": "1477036473", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cuevas", "first_name": "Leslie", "gender": "Female", "npi": "1679868616", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trejo", "first_name": "Erika", "middle_name": "Alexandra", "gender": "Female", "npi": "1396452157", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "130836", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAST (Child Abuse Services Team)", "entity": "00030", "npi2": "1912025628", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "401 THE CITY DRIVE S.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3303", "phone": "(714) 935-7545", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "EXAMPLE: Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sueldo", "first_name": "Maria", "middle_name": "TERESA DE JESUS", "gender": "Female", "npi": "1912646357", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-10", "contract_expiration_date": "2027-06-30", "license_number": "145828", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC North (Youth Reporting Center)", "entity": "00030", "npi2": "1407993249", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1920 W CORPORATE WAY", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5373", "phone": "(714) 687-6705", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "Children/Youth", "specialties": "Adolescent" } ] }, { "last_name": "McFarland", "first_name": "Heather", "middle_name": "Lea", "gender": "Female", "npi": "1720777808", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121570", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Chau", "first_name": "Tran", "middle_name": "Bao", "gender": "Female", "npi": "1568211720", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tran", "first_name": "Amy", "middle_name": "Vu", "gender": "Female", "npi": "1740531581", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "98864", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Managing and Adapting Practice (MAP),Aging,Case Management,Family Therapy,Educational Related Mental Health Services,Juvenile Justice" } ] }, { "last_name": "Vo", "first_name": "Mai", "middle_name": "Thy", "gender": "Female", "npi": "1124877386", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Orendorff", "first_name": "Emily", "gender": "Female", "npi": "1922841725", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "741956", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Triana-Liau", "first_name": "Lizeth", "middle_name": "Camila", "gender": "Female", "npi": "1376383372", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "139239", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Khachatourian", "first_name": "Taline", "gender": "Female", "npi": "1194567016", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "143081", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ayala", "first_name": "Giovanni", "gender": "Male", "npi": "1609503028", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Hearing Impaired,Justice Involved,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Refugee,Teens,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "122575", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Immigration Populations,LGBTQ+,Suicide Assessment and Prevention,Linkage and Referrals,Parent-Child Interaction Therapy (PCIT),Adolescent,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Individual Therapy,Parenting Skills,Transgender, Gender Diverse, and Intersex (TGI),Low Income Populations,Anxiety Disorders,Grief & Bereavement,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Children,Mindfulness,Anger Management,Person-Centered Therapy,Trauma Informed Care,Severe and Persistent Mental Illness (SPMI),Motivational Interviewing (MI),Play Therapy" } ] }, { "last_name": "Zacarias", "first_name": "Stefany", "middle_name": "Jasmin", "gender": "Female", "npi": "1972110807", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7939", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "CHAVEZ", "first_name": "CORRENA", "gender": "Female", "npi": "1184126971", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lanternier", "first_name": "Michelle", "middle_name": "Martine", "gender": "Female", "npi": "1851149082", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "157087", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Individual Therapy" } ] }, { "last_name": "Ledesma", "first_name": "Rachel", "gender": "Female", "npi": "1497502660", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156590", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Erwin", "first_name": "Emily", "middle_name": "Christine", "gender": "Female", "npi": "1366867822", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT TAY Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Camargo", "first_name": "Olsom", "middle_name": "Marvin", "gender": "Male", "npi": "1700511839", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Chicano American,Gangs,Justice Involved,Latino/Latina/LatinX,Teens,Geriatric Issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-08-23", "contract_expiration_date": "2027-06-30", "license_number": "ASW121676", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC Central (Youth Reporting Center)", "entity": "00030", "npi2": "1215055934", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1700 E SAINT ANDREW PL", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 667-7610", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Case Management,Child and Family Meeting (CFT),Cognitive Behavioral Therapy (CBT),Criminal Justice,Trauma Informed Care,Transitional Age Youth (TAY),Solution Focused Therapy" } ] }, { "last_name": "Chen", "first_name": "Winnie", "middle_name": "Man-Wai", "gender": "Female", "npi": "1255018933", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-08-09", "contract_expiration_date": "2027-06-30", "license_number": "ASW116287", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy" } ] }, { "last_name": "Schooner", "first_name": "Lauren", "middle_name": "Kathleen", "gender": "Female", "npi": "1932736428", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A190807", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A190807", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS PACT", "entity": "00030", "npi2": "1649716770", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 404", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 645-8045", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The PACT team provide intensive behavioral health services including assessment, individual, family and group therapy, rehabilitation services, dual diagnosis treatment, crisis intervention, extensive case management and advocacy. PACT team member s also facilitate linkage to community resources, provide family support and education and facilitate monthly social /wellness groups. After hour appointments are available, if needed." }, "population_served": "Adolescents", "specialties": "Co-Occurring Disorders,Depressive Disorders,LGBTQ+,Adolescent,Medication Education and Support,Child Development" } ] }, { "last_name": "Schuster", "first_name": "John", "gender": "Male", "npi": "1396305686", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSLHGYK", "license_type": "Peer Support Specialist", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lin", "first_name": "Angela", "middle_name": "Shiaoyuan", "gender": "Female", "npi": "1669872693", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "115911", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Moreen", "first_name": "Imani", "gender": "Female", "npi": "1295379758", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "147944", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Romero Abnoosian", "first_name": "Carla", "middle_name": "", "gender": "Female", "npi": "1487796470", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "28438", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Toney", "first_name": "Joshua", "middle_name": "E", "gender": "Male", "npi": "1891531711", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sweeney", "first_name": "Gavin", "middle_name": "Alan", "gender": "Male", "npi": "1568182525", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "123358", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "123358", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gutschow", "first_name": "Brittany", "middle_name": "Lee", "gender": "Female", "npi": "1376198929", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "120346", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "120346", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Van", "middle_name": "Hoang Tran", "gender": "Female", "npi": "1982116745", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131933", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Asian and Pacific Islander Community,Assertive Community Treatment (ACT),Suicide Assessment and Prevention,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Seeking Safety,Group Therapy,Trauma Informed Care,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Marquez", "first_name": "Connie", "gender": "Female", "npi": "1669086773", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Yang", "first_name": "Kong", "middle_name": "Jackson", "gender": "Male", "npi": "1255116323", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Hmong", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123531", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders,Anger Management,Assertive Community Treatment (ACT),Bipolar Disorders,Case Management,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Depressive Disorders,Home Visits,Individual Therapy,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mood Disorders,Post Traumatic Stress Disorder (PTSD),Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Trauma Informed Care,Seeking Safety" } ] }, { "last_name": "Tran", "first_name": "Thoa", "middle_name": "Kim Thi", "gender": "Female", "npi": "1376632315", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "20842", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Sanchez", "first_name": "Tito", "middle_name": "Toreno", "gender": "Male", "npi": "1134380348", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "28516", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "Adults,Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Adolescent,Anxiety Disorders,,Asian and Pacific Islander Community,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,CPR/First Aid Certified,Crisis Intervention Services,Depressive Disorders,Dialectical Behavior Therapy (DBT),Eye Movement Desensitization and Reprocessing,Family Therapy,Group Therapy,Home Visits,Immigration Populations,Individual Therapy,LGBTQ+,Linkage and Referrals,Low Income Populations,LPS 5150/5585 Designated Staff,Mindfulness,Mood Disorders,Motivational Interviewing (MI),Obsessive Compulsive Disorders and Related Disorders,Parent-Child Interaction Therapy (PCIT),Parenting Skills,Personality Disorders,Person-Centered Therapy,Play Therapy,Post Traumatic Stress Disorder (PTSD),Rehab/Intensive Home Based Services,Sand Tray and Art Therapy,Schizophrenia Spectrum and Other Psychotic Disorders,Severe and Persistent Mental Illness (SPMI),Solution Focused Therapy,Strengths-Based Care,Stress Management,Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Vocational/Educational Support" } ] }, { "last_name": "Natividad", "first_name": "Chanelle", "middle_name": "Joyce Blas", "gender": "Female", "npi": "1659836419", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mcneese", "first_name": "Hailey", "middle_name": "Evelina", "gender": "Female", "npi": "1891537403", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123382", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Loeur", "first_name": "Ronny", "middle_name": "Ron", "gender": "Male", "npi": "1770128555", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wilson", "first_name": "Chad", "middle_name": "Everett", "gender": "Male", "npi": "1023855798", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Goldman", "first_name": "Elizabeth", "middle_name": "Rachel", "gender": "Female", "npi": "1205660594", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW123540", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders" } ] }, { "last_name": "Delgado Chavez", "first_name": "Marly", "middle_name": "", "gender": "Female", "npi": "1104662584", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "126037", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vieyra", "first_name": "Cassandra", "gender": "Female", "npi": "1669218327", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Le", "first_name": "Jenny", "middle_name": "Phuong-Phuong", "gender": "Female", "npi": "1497592166", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "157436", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fink", "first_name": "Deanna", "middle_name": "Kay", "gender": "Female", "npi": "1558042952", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "115203", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "115203", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Johnson", "first_name": "Nahtori", "middle_name": "", "gender": "Female", "npi": "1790519221", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "119762", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders" } ] }, { "last_name": "Lee", "first_name": "Chang", "middle_name": "Joon", "gender": "Male", "npi": "1942031455", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "APCC16338", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Ezumah", "first_name": "Chimere", "middle_name": "Crystal", "gender": "Female", "npi": "1891355269", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT153398", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Phan", "first_name": "Christine", "middle_name": "Kieu", "gender": "Female", "npi": "1487400917", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95029861", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Brown", "first_name": "Joshua", "middle_name": "Patrick", "gender": "Male", "npi": "1811601826", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Amanda", "middle_name": "Nicole", "gender": "Female", "npi": "1548097389", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "135180", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Mendoza", "first_name": "Iliana", "gender": "Female", "npi": "1679046619", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rosales", "first_name": "Francisco", "middle_name": "Antonio", "gender": "Male", "npi": "1104560242", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Revels", "first_name": "Jourdin", "middle_name": "Rachael", "gender": "Female", "npi": "1770315723", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19378", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Herforth", "first_name": "Danielle", "middle_name": "Marie", "gender": "Female", "npi": "1477388858", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Victims of Abuse,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "15167", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Crisis Intervention Services,Case Management,Depressive Disorders,Family Therapy,Suicide Assessment and Prevention,Home Visits,Linkage and Referrals,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Parenting Skills,School Based,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Children,Anger Management,Mood Disorders" } ] }, { "last_name": "Leota", "first_name": "Dana", "middle_name": "Ayoob", "gender": "Female", "npi": "1821829409", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123352", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chamberlain", "first_name": "Cassandra", "middle_name": "Ellen", "gender": "Female", "npi": "1124700109", "taxonomy": "104100000X;225400000X", "taxonomy_description": "Social Worker,Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123091", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barillas", "first_name": "Sara", "middle_name": "Pilar", "gender": "Female", "npi": "1518691971", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123375", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Christine", "middle_name": "Marie", "gender": "Female", "npi": "1629808548", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "29045", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Richardson", "first_name": "Britney", "gender": "Female", "npi": "1235914235", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ASW123918", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-4406", "phone": "(657) 276-7030", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ASW123918", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Serrano", "first_name": "Isaiah", "middle_name": "Misael", "gender": "Male", "npi": "1588422018", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trujillo", "first_name": "Bryanna", "gender": "Female", "npi": "1184282113", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jama", "first_name": "Muna", "gender": "Female", "npi": "1245058684", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Opah", "first_name": "Mia", "gender": "Female", "npi": "1366207045", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marrow", "first_name": "Kristy", "middle_name": "Jacqueline", "gender": "Female", "npi": "1033866033", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "105919", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Riched", "first_name": "Tasneem", "gender": "Female", "npi": "1164114161", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Michelle", "gender": "Female", "npi": "1477234110", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "117857", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Anker", "first_name": "Yen", "gender": "Female", "npi": "1104273309", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95003992", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thai", "first_name": "Maria", "gender": "Female", "npi": "1568173367", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95021260", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Yea", "first_name": "Ariana", "gender": "Female", "npi": "1265156483", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "61685", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Wang", "first_name": "Alex", "middle_name": "Jinwen", "gender": "Male", "npi": "1225778608", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A188114", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A188114", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Collins", "first_name": "Katie", "gender": "Female", "npi": "1295324127", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Veterans,Pacific Asian", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "NP95026696", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Avalos", "first_name": "Christina", "gender": "Female", "npi": "1407097041", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Benitez Cruz", "first_name": "Eduardo", "middle_name": "", "gender": "Male", "npi": "1710529227", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSSVMZCRK", "license_type": "Peer Support Specialist", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Amidon", "first_name": "Robin", "gender": "Male", "npi": "1275303570", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95028555", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mabazza", "first_name": "Claro Mark", "middle_name": "Orilla", "gender": "Male", "npi": "1326617358", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95017626", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Piquant", "first_name": "Nicole", "middle_name": "Leslie", "gender": "Female", "npi": "1174341002", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95030528", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wood", "first_name": "Traci", "middle_name": "Mariko", "gender": "Female", "npi": "1841029204", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT147203", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Tang", "first_name": "Annie", "gender": "Another Gender Identity", "npi": "1255158101", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gutierrez Ramirez", "first_name": "Guadalupe", "gender": "Female", "npi": "1922732361", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "94028572", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gutierrez", "first_name": "Carolina", "gender": "Female", "npi": "1659194843", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Landin", "first_name": "Diana", "gender": "Female", "npi": "1447071402", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Miller", "first_name": "Jason", "gender": "Male", "npi": "1770399495", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Muong", "first_name": "Monorith", "middle_name": "Jonathan", "gender": "Male", "npi": "1720807175", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bondoc", "first_name": "Christopher", "middle_name": "Rodger Catacutan", "gender": "Male", "npi": "1083196489", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "123272", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alcala", "first_name": "Mirka", "gender": "Female", "npi": "1053133868", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Zigan", "first_name": "Paul", "middle_name": "David", "gender": "Male", "npi": "1114563392", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gosey", "first_name": "Shaliece", "gender": "Female", "npi": "1720867849", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia-Whipple", "first_name": "Mayra", "gender": "Female", "npi": "1356188742", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Newvine", "first_name": "Crystal-Andrea", "middle_name": "Lisette", "gender": "Female", "npi": "1578046819", "taxonomy": "171M00000X", "taxonomy_description": "Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Juan", "middle_name": "Eugene", "suffix": "Jr.", "gender": "Male", "npi": "1285450031", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Dulce", "middle_name": "Maria", "gender": "Female", "npi": "1306014535", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ruiz", "first_name": "Michelle", "gender": "Female", "npi": "1215571922", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "128407", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzaga", "first_name": "Gelisa", "middle_name": "Tracy Gaitos", "gender": "Female", "npi": "1518707975", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131115", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131115", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gracia", "first_name": "Tony", "gender": "Male", "npi": "1215783741", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jimenez", "first_name": "Fatima", "gender": "Female", "npi": "1699598748", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "149775", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Retamar", "first_name": "Sydney", "middle_name": "Renee", "gender": "Female", "npi": "1487286696", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mondragon", "first_name": "Cristina", "gender": "Female", "npi": "1942932249", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Miranda", "first_name": "Alejandra", "gender": "Female", "npi": "1619615374", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Asian and Pacific Islander Community,Autism Spectrum Disorders,CPR/First Aid Certified,Crisis Intervention Services,Stress Management,Substance Use Disorder (SUD) Services and Education,Case Management,LGBTQ+,Wellness Recovery Action Plan (WRAP),Supportive Employment,Home Visits,Linkage and Referrals,Victim Awareness,Homeless Outreach,Parenting Skills,School Based,Low Income Populations,Transitional Age Youth (TAY),Mindfulness,Anger Management,Mood Disorders" } ] }, { "last_name": "Sanders", "first_name": "Madison", "gender": "Female", "npi": "1982410437", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Johson", "first_name": "Lauren", "middle_name": "Rose", "gender": "Female", "npi": "1265083604", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145582", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Campos Ramirez", "first_name": "Yessica", "middle_name": "Arely", "gender": "Female", "npi": "1639652258", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125274", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Madsen", "first_name": "Taylor", "middle_name": "Mckenna", "gender": "Female", "npi": "1295311496", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "149891", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lew", "first_name": "Alyssa", "middle_name": "Grace", "gender": "Female", "npi": "1629857107", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,LGBTQ+,Middle Eastern,Native American,Pacific Asian,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSZAKOX", "license_type": "Peer Support Specialist", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Socialization Groups,Strengths-Based Care,Stress Management" } ] }, { "last_name": "Calderon Herrera", "first_name": "Jose", "middle_name": "Alfredo", "gender": "Male", "npi": "1942964077", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Naranjo", "first_name": "Priscilla", "middle_name": "Raquel", "gender": "Female", "npi": "1427878412", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Latino/Latina/LatinX,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "133027", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Music Therapy,Strengths-Based Care,Stress Management,Behavioral Modification,Case Management,Depressive Disorders,Suicide Assessment and Prevention,Bereavement,Women's Issues,Adolescent,Individual Therapy,Parenting Skills,Child Development,Low Income Populations,Seeking Safety,Anxiety Disorders,Grief & Bereavement,LPS 5150/5585 Designated Staff,Sensitivity to Spirituality Practices,Trauma and Stress Related Disorders,Children,Mindfulness,Separation/Divorce,Anger Management,Person-Centered Therapy,Seriously Emotionally Disturbed (SED),Trauma Informed Care,Motivational Interviewing (MI),Play Therapy" } ] }, { "last_name": "Small", "first_name": "Pablo", "middle_name": "Guillermo", "gender": "Male", "npi": "1730996976", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD)" } ] }, { "last_name": "Martinez", "first_name": "Viridiana", "gender": "Female", "npi": "1518429679", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132777", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy,Mood Disorders" } ] }, { "last_name": "Traynor", "first_name": "Ariadna", "middle_name": "Jimenez", "gender": "Female", "npi": "1023360518", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "APCC17420", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Solano", "first_name": "Tamara", "gender": "Female", "npi": "1447060272", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "148584", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Mendoza", "first_name": "Cristina", "middle_name": "Guadalupe", "gender": "Female", "npi": "1477049161", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151134", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Hockett", "first_name": "Brian", "middle_name": "Curtis", "gender": "Male", "npi": "1760220883", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Depressive Disorders,Individual Therapy" } ] }, { "last_name": "Manez Tabarez", "first_name": "Ricardo", "gender": "Male", "npi": "1376100214", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Blane", "first_name": "Mosi", "middle_name": "Jamila", "gender": "Female", "npi": "1740010636", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "146319", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth,Adolescents", "specialties": "Children,Adolescent" } ] }, { "last_name": "Sakahara", "first_name": "Karin", "middle_name": "Kiyoko", "gender": "Female", "npi": "1417062597", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20216", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Hite", "first_name": "Ashley", "middle_name": "Nicole", "gender": "Female", "npi": "1083174452", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A180581", "license_type": "Physician", "service_type": "Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lee", "first_name": "Ye", "middle_name": "Lim", "gender": "Female", "npi": "1760167936", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT147757", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Pedroza", "first_name": "Natalie", "gender": "Female", "npi": "1659181873", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123932", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy,Anxiety Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Munoz", "first_name": "Melissa", "middle_name": "Gabriela", "gender": "Female", "npi": "1134939283", "taxonomy": "171M00000X", "taxonomy_description": "Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thomas", "first_name": "Rachel", "middle_name": "LeeAnn", "gender": "Female", "npi": "1174351837", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "142655", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Dauer", "first_name": "Patricia", "middle_name": "Marie", "gender": "Female", "npi": "1093861411", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "19691", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Corn", "first_name": "Leland", "middle_name": "Ray", "gender": "Male", "npi": "1366278566", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT148562", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Almedia", "first_name": "Virginia", "middle_name": "Frances", "gender": "Female", "npi": "1417767856", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "126120", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Quinlan", "first_name": "Leticia", "middle_name": "Marie", "gender": "Female", "npi": "1427868496", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sandoval", "first_name": "Maria", "middle_name": "Luisa", "gender": "Female", "npi": "1902014897", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSAPLRSU", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Burgos", "first_name": "Gabriela", "gender": "Female", "npi": "1659090678", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT150168", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Santos", "first_name": "Isabel", "middle_name": "Lorraine", "gender": "Female", "npi": "1437975745", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ASW123269", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Stewart", "first_name": "Renee", "middle_name": "Alicia", "gender": "Female", "npi": "1407662950", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT148848", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Montoya", "first_name": "Nallely", "gender": "Female", "npi": "1902345564", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "105327", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Rodriguez", "first_name": "Veronica", "gender": "Female", "npi": "1912461666", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "ACSW110137", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North MHSA", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Denkinger", "first_name": "Kiora", "middle_name": "Ann", "gender": "Female", "npi": "1841001765", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "AMFT150095", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Anasis", "first_name": "Amelia", "middle_name": "Grace", "gender": "Female", "npi": "1083425151", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Acosta", "first_name": "Carol", "gender": "Female", "npi": "1962212183", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carney", "first_name": "Roxanne", "gender": "Female", "npi": "1417611591", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95031356", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Moncada", "first_name": "Alexis", "gender": "Female", "npi": "1881403970", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-4406", "phone": "(657) 276-7030", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Balcita", "first_name": "Gemma", "gender": "Female", "npi": "1750033155", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95019380", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bota", "first_name": "Robert", "gender": "Male", "npi": "1407990773", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A103585", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "UC IRVINE MEDICAL CENTER", "entity": "00548", "npi2": "1154500510", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "273R00000X", "site_taxonomy_description": "Psychiatric Unit", "address_line_1": "101 THE CITY DR. SOUTH", "address_line_2": "", "city": "ORANGE", "state": "CA", "zip_code": "92868-3201", "phone": "(714) 456-7295", "webSite": "http://ucirvinehealth.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "28" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chang", "first_name": "Daniel", "gender": "Male", "npi": "1922727353", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95022370", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Missakian", "first_name": "Michele", "gender": "Female", "npi": "1215254461", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "19690", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Nabi", "first_name": "Sharmin", "gender": "Female", "npi": "1164050597", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A195619", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Siewert", "first_name": "Thais", "gender": "Female", "npi": "1194348318", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95080230", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trippel", "first_name": "Maria", "gender": "Female", "npi": "1063123925", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95023569", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wier", "first_name": "Koa", "gender": "Male", "npi": "1740848670", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95031900", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Wong", "first_name": "Natalie", "gender": "Female", "npi": "1619751930", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "64880", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Urzua", "first_name": "Saira", "middle_name": "Isabel", "gender": "Female", "npi": "1770392458", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Elizarraras", "first_name": "Aaron", "middle_name": "Michael", "gender": "Male", "npi": "1144034620", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSSRUGEA", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Palabod", "first_name": "Shahin", "middle_name": "Peter", "gender": "Male", "npi": "1093457525", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A191007", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A191007", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "1093457525", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Riccardi-Zhu", "first_name": "Simon", "middle_name": "Ning", "gender": "Female", "npi": "1437809951", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Aging,Children and Adolescents,Children and Youth,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A188527", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A188527", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A188527", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Agarin", "first_name": "Taghogho", "gender": "Male", "npi": "1386993814", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A130398", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A130398", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Ong", "first_name": "Joshua", "gender": "Female", "npi": "1659033819", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95028532", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95028532", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Zambrano", "first_name": "Monica", "middle_name": "Gabriela", "gender": "Female", "npi": "1003539313", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "114210", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Keyner", "first_name": "Katrina", "gender": "Female", "npi": "1932365483", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Brown", "first_name": "Kyla", "middle_name": "Isabelle", "gender": "Female", "npi": "1326791757", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "118442", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth,Adolescents", "specialties": "Children,Adolescent" } ] }, { "last_name": "Mendoza", "first_name": "Wendy", "gender": "Female", "npi": "1518771963", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "747269", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Elizabeth", "first_name": "Barron", "gender": "Female", "npi": "1437965316", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSJPFNMX", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Garcia", "first_name": "Letisha", "middle_name": "Evonne", "gender": "Female", "npi": "1881382596", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia Cruz", "first_name": "Arlette", "gender": "Female", "npi": "1497567556", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "MacDonald", "first_name": "Dustin", "gender": "Male", "npi": "1528134525", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "25697", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Behavioral Modification,Depressive Disorders,Family Therapy,Obsessive Compulsive Disorders and Related Disorders,Sand Tray and Art Therapy,Impulse-Control Disorders,Parent-Child Interaction Therapy (PCIT),Adolescent,Individual Therapy,Parenting Skills,Anxiety Disorders,Trauma and Stress Related Disorders,Children,Mindfulness,Mood Disorders,,Phobias,Motivational Interviewing (MI),Play Therapy" } ] }, { "last_name": "Watts", "first_name": "Teal", "middle_name": "Ashley", "gender": "Female", "npi": "1962086991", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "94028676", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Scarsciotti", "first_name": "Alyssa", "middle_name": "Cheyenne", "gender": "Female", "npi": "1982314258", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cappellini", "first_name": "Francesca", "gender": "Female", "npi": "1619714409", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved,Law Enforcement,LGBTQ+,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "122487", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Criminal Justice,Depressive Disorders,Home Visits,Impulse-Control Disorders,Juvenile Justice,Katie A. Services" } ] }, { "last_name": "Charles", "first_name": "Amelie", "gender": "Female", "npi": "1720711617", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "April", "middle_name": "Suong", "gender": "Female", "npi": "1457158552", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136403", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Adults/Older Adults,Transitional Aged Youth", "specialties": "" } ] }, { "last_name": "Alvarado", "first_name": "Crystal", "middle_name": "Marie", "gender": "Female", "npi": "1124706734", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "15079", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth,Adolescents", "specialties": "Children,Adolescent" } ] }, { "last_name": "Alfaro", "first_name": "Genesis", "gender": "Female", "npi": "1639708852", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Beal", "first_name": "Stacey", "middle_name": "Charlene", "gender": "Female", "npi": "1770341638", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSPQBHKF", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gaytan", "first_name": "Janet", "gender": "Female", "npi": "1033727367", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchis", "first_name": "Karla", "gender": "Female", "npi": "1740896992", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "Depressive Disorders,Individual Therapy" } ] }, { "last_name": "Vorenberg", "first_name": "Jocelyn", "middle_name": "Danielle", "gender": "Female", "npi": "1467251744", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "128328", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Samaan", "first_name": "Lisa", "middle_name": "Isis", "gender": "Female", "npi": "1659687606", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth,Foster Home Youth,LGBTQ+,Middle Eastern,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "87404", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychodynamic Therapy,Crisis Intervention Services,Abuse (Child/Elder/Physical/Sexual) Victims,Depressive Disorders,Juvenile Justice,Katie A. Services,LGBTQ+,Sand Tray and Art Therapy,Suicide Assessment and Prevention,Adolescent,Dialectical Behavior Therapy (DBT),Human Trafficking,Transitional Age Youth (TAY),Anxiety Disorders,Trauma and Stress Related Disorders,Children,Group Therapy,Personality Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Mood Disorders,Person-Centered Therapy,Trauma Informed Care" } ] }, { "last_name": "Lee", "first_name": "Rachel", "gender": "Female", "npi": "1285433003", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS KCS FSP Project Focus", "entity": "01506", "npi2": "1730323585", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "13091 GALWAY ST", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92844-1633", "phone": "714-539-4544", "webSite": "https://www.koreancommunity.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lemus", "first_name": "Carrie", "middle_name": "Lynn", "gender": "Female", "npi": "1316071376", "taxonomy": "171M00000X", "taxonomy_description": "Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castaneda", "first_name": "Raul", "middle_name": "Andres", "gender": "Female", "npi": "1871239863", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Avila-Martinez", "first_name": "Lakshmi", "middle_name": "Betzabe", "gender": "Female", "npi": "1235898842", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "129195", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Individual Therapy" } ] }, { "last_name": "Nguyen", "first_name": "Jimmy", "gender": "Male", "npi": "1548085962", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95218533", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support,Individual Therapy,Crisis Intervention Services" } ] }, { "last_name": "Vines", "first_name": "Maurice", "middle_name": "Mitchell", "gender": "Male", "npi": "1942936026", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Iranian,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Native American,Pacific Asian,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "108673", "license_type": "Associate Clinical Social Worker", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults/Older Adults", "specialties": "Severe and Persistent Mental Illness (SPMI),Case Management,Cognitive Behavioral Therapy (CBT),Strengths-Based Care,Crisis Intervention Services,Dialectical Behavior Therapy (DBT),Linkage and Referrals,Trauma Informed Care,Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Marquez", "first_name": "Tashia", "gender": "Female", "npi": "1467727636", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ngueyn", "first_name": "Travis", "gender": "Male", "npi": "1487391017", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Yoon", "first_name": "Jennifer", "gender": "Female", "npi": "1336889930", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A188733", "license_type": "Physician", "service_type": "Medication Support,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A188733", "license_type": "Physician", "service_type": "Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Covarrubias", "first_name": "Julianna", "gender": "Female", "npi": "1194503011", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "18209", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "Transitional Aged Youth", "specialties": "Transitional Age Youth (TAY)" } ] }, { "last_name": "Barbosa", "first_name": "Janet", "gender": "Female", "npi": "1992342679", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Luna", "first_name": "Vivian", "gender": "Female", "npi": "1073293809", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Geriatric Issues,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "137065", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Partum Depression (PPD),Post Traumatic Stress Disorder (PTSD),Depressive Disorders,Immigration Populations,Suicide Assessment and Prevention,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Seeking Safety,Anxiety Disorders,Trauma and Stress Related Disorders,Children,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Trauma Informed Care" } ] }, { "last_name": "Brandon", "first_name": "Nathalie", "middle_name": "Nicole", "gender": "Female", "npi": "1760008031", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Transitional Aged Youth", "specialties": "Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Depressive Disorders,Suicide Assessment and Prevention,Human Trafficking,Low Income Populations,Transitional Age Youth (TAY),Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders" } ] }, { "last_name": "Garcia", "first_name": "Claudia", "gender": "Female", "npi": "1174611677", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "23676", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Lopez", "first_name": "Nancy", "gender": "Female", "npi": "1861297673", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Espinoza", "first_name": "Cecilia", "gender": "Female", "npi": "1073175246", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Morales", "first_name": "Erica", "gender": "Female", "npi": "1508372459", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "152727", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Co-Occurring Disorders,Family Therapy,Adolescent,Child and Family Meeting (CFT),Individual Therapy,Seriously Emotionally Disturbed (SED)" } ] }, { "last_name": "Perez Martinez", "first_name": "Rodrigo", "gender": "Male", "npi": "1538738257", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guillen", "first_name": "Maria", "middle_name": "Elena", "gender": "Female", "npi": "1134783988", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Weyker", "first_name": "Tryniti", "middle_name": "Rae-Ray", "gender": "Female", "npi": "1861292393", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153819", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Solution Focused Therapy,CPR/First Aid Certified,Criminal Justice,Crisis Intervention Services,Stress Management,Juvenile Justice,Child and Family Meeting (CFT),Eye Movement Desensitization and Reprocessing,Transitional Age Youth (TAY),Children,Anger Management" } ] }, { "last_name": "Saati", "first_name": "Alexandria", "middle_name": "Dominique", "gender": "Female", "npi": "1316749286", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "149334", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth,Adolescents", "specialties": "Children,Adolescent" } ] }, { "last_name": "Rivas", "first_name": "Steffany", "middle_name": "Michelle", "gender": "Female", "npi": "1588461834", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153820", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Koschel", "first_name": "Deanna", "middle_name": "Lynn", "gender": "Female", "npi": "1770355752", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95027301", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Truong", "first_name": "Thanh", "middle_name": "Dieu", "gender": "Female", "npi": "1457855066", "taxonomy": "2084P0800X;2084P0804X", "taxonomy_description": "Psychiatry & Neurology Psychiatry,Psychiatry & Neurology Child & Adolescent Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A163474", "license_type": "Physician", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Famoso", "first_name": "Gisselle", "gender": "Female", "npi": "1225800766", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Harris", "first_name": "Jordan", "middle_name": "Josiah", "gender": "Male", "npi": "1649645805", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castellanos", "first_name": "Jeanneathe", "gender": "Female", "npi": "1720284581", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS North Region", "entity": "00030", "npi2": "1962549774", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "120 S. STATE COLLEGE BLVD.", "address_line_2": "STE. 150", "city": "BREA", "state": "CA", "zip_code": "92821-5807", "phone": "(714) 577-5400", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Provides outpatient services (i.e therapy, medication management, crisis evaluations, other linkages to additional services) for clients between the ages of 0-20 years of age." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Manswer", "first_name": "Maha", "gender": "Female", "npi": "1164219523", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153212", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lizarraga", "first_name": "Lucia", "middle_name": "Marie", "gender": "Female", "npi": "1689482515", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSDPTHAJ", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSDPTHAJ", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT AI FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N BUSH ST", "city": "SANTA ANA", "state": "CA", "zip_code": "92706", "phone": "(714)361-7950", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Criminal Justice" } ] }, { "last_name": "Bautista", "first_name": "Brenda", "gender": "Female", "npi": "1558106690", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125452", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "O'Connor", "first_name": "Rachel", "middle_name": "Marie", "gender": "Female", "npi": "1073318911", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSHVFTMB", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Uhl", "first_name": "Sommer", "middle_name": "Rose Castillo", "gender": "Female", "npi": "1205123254", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "108245", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Merino", "first_name": "Kailey", "gender": "Female", "npi": "1053118034", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Duong", "first_name": "Hein-Thien", "gender": "Male", "npi": "1225715543", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153463", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Depressive Disorders,Family Therapy,Individual Therapy" } ] }, { "last_name": "Akhavi", "first_name": "Azin", "gender": "Female", "npi": "1710734488", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Quang", "middle_name": "Minh", "gender": "Male", "npi": "1871268516", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "128776", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Family Therapy,Individual Therapy,Anxiety Disorders,Mood Disorders" } ] }, { "last_name": "Velasco", "first_name": "Nubia", "middle_name": "Belen", "gender": "Female", "npi": "1720875404", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "127931", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Individual Therapy,Anxiety Disorders" } ] }, { "last_name": "Sharifpour", "first_name": "Shouka", "gender": "Female", "npi": "1205236908", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Medina", "first_name": "Elva", "gender": "Female", "npi": "1477965556", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSBTJSOP", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alegre", "first_name": "Ignacio", "gender": "Male", "npi": "1093510505", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19121", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gardea", "first_name": "Melanie", "gender": "Female", "npi": "1942006309", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Beltran", "first_name": "Maricela", "middle_name": "Tonie", "gender": "Female", "npi": "1699204321", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "167331", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zip_code": "92868-3849", "phone": "(714) 633-9111", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "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." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Chen", "first_name": "Cindy", "gender": "Female", "npi": "1023756053", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "61714", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Dumerton", "first_name": "Brenna", "gender": "Female", "npi": "1386455210", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95033114", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Fajilan", "first_name": "Madeleine", "middle_name": "Kate", "gender": "Female", "npi": "1548810591", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "65353", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Fendrick", "first_name": "Krista", "gender": "Female", "npi": "1316297286", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "22477", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Frazier", "first_name": "Michael", "gender": "Male", "npi": "1225396591", "taxonomy": "2084B0040X", "taxonomy_description": "Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "127381", "license_type": "Physician", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "Progeny Psychiatric Group - Irvine", "entity": "00F30", "npi2": "1235391624", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "17782 COWAN STE A", "city": "IRVINE", "state": "CA", "zip_code": "92614", "phone": "949-722-7118", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Outpatient Clinic unparalleled healthcare with our medication management and therapy services, conveniently available across five different locations in Orange County." }, "population_served": "Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Gonwa Ramonda", "first_name": "Addie", "gender": "Female", "npi": "1437988946", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95268126", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "ADVANTAGE NEUROPSYCHIATRIC ASSOC", "entity": "00F30", "npi2": "1043455850", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "1010 W CHAPMAN AVE.", "city": "ORANGE", "state": "CA", "zip_code": "92868-2847", "phone": "(714) 633-4300", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Mental health services" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Kendall", "first_name": "Noelle", "gender": "Female", "npi": "1699502815", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "65054", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Lieu", "first_name": "Vincent", "gender": "Male", "npi": "1245016526", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026848", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Machiwalla", "first_name": "Rukhsar", "middle_name": "Karim", "gender": "Female", "npi": "1932700259", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "63643", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Musich", "first_name": "Christine", "gender": "Female", "npi": "1760014724", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95013582", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Santacruz Jr", "first_name": "Juan", "gender": "Male", "npi": "1528823689", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "65341", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Nojan", "first_name": "Joseph", "gender": "Male", "npi": "1083380885", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "60335", "license_type": "Physician Assistants", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.", "entity": "00F30", "npi2": "1356685218", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "2084P0800X", "site_taxonomy_description": "Psychiatry & Neurology Psychiatry", "address_line_1": "3151 AIRWAY AVE.", "address_line_2": "STE. G1", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4624", "phone": "(714) 545-5550", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Psychiatric treatments for children, adolescents, adults, and seniors, Our psychiatrists treat a number of mental health disorders, including anxiety, stress, PTSD, bipolar, schizophrenia, dementia, depression, ADD ADHD, alcohol . medication management and chemical dependency," }, "population_served": "Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Nguyen", "first_name": "Janna", "gender": "Female", "npi": "1326895665", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mata", "first_name": "Michelle", "middle_name": "Ashley", "gender": "Female", "npi": "1013340777", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "126945", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Haq", "first_name": "Mudasar", "middle_name": "UL", "gender": "Male", "npi": "1215415716", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Family Systems,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "160331", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Aging,Geriatric Services,Co-Occurring Disorders" } ] }, { "last_name": "Aaron", "first_name": "Rebecca", "middle_name": "Mary", "gender": "Female", "npi": "1891550034", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramos", "first_name": "karen", "gender": "Female", "npi": "1730900697", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kneubuhl", "first_name": "Chad", "gender": "Male", "npi": "1669836250", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Multicultural", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSNAILGE", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Supportive Employment,Home Visits,Homeless Outreach" } ] }, { "last_name": "Powell", "first_name": "Evan", "middle_name": "Nicole", "gender": "Female", "npi": "1851134282", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-07-01", "license_number": "96077", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Children’s In Home Crisis Stabilization", "entity": "01367", "npi2": "1356474878", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-07-01", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1932 E DEERE AVE.", "address_line_2": "240", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-4333", "webSite": "http://theprioritycenter.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children’s In-Home Crisis Stabilization is a short-term (21-days) 24/7 crisis intervention program that helps children and families experiencing a mental health crisis. The program aims to stabilize the immediate crisis, prevent psychiatric hospitalization or out-of-home placement, and support families through short-term in-home therapy, crisis response, case management, and family support services." }, "population_served": "", "specialties": "Crisis Intervention Services,Suicide Assessment and Prevention,Adolescent,Children" } ] }, { "last_name": "Montes", "first_name": "Kassandra", "middle_name": "Angela", "gender": "Female", "npi": "1447035522", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSOKJGSF", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Robinson", "first_name": "Dexter", "gender": "Male", "npi": "1821893314", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSFGWJZW", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Aliya", "middle_name": "Nicole", "gender": "Female", "npi": "1407576242", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Diana\t\t\t\t\t\t", "gender": "Female", "npi": "1831989813", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortegon", "first_name": "Gisell", "middle_name": "Eugenia", "gender": "Female", "npi": "1619766151", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Espinoza", "first_name": "Edgar", "gender": "Male", "npi": "1316737653", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Herrera Cervantes", "first_name": "Fatima", "gender": "Female", "npi": "1457140998", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Wu", "first_name": "Elissa", "middle_name": "Juan", "gender": "Female", "npi": "1386187318", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Latino/Latina/LatinX,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "28962", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,,Attention Deficit Hyperactivity Disorder (ADHD),Behavioral Modification,Child and Family Meeting (CFT),Children,Chronic Illness,Cognitive Behavioral Therapy (CBT),Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Individual Therapy,Linkage and Referrals,Mindfulness,Mood Disorders,Parenting Skills,Seriously Emotionally Disturbed (SED),Severe and Persistent Mental Illness (SPMI),Transitional Age Youth (TAY),Trauma and Stress Related Disorders,Stress Management,Strengths-Based Care,Trauma Informed Care,Suicide Assessment and Prevention" } ] }, { "last_name": "Sanchez", "first_name": "Gema", "gender": "Female", "npi": "1538630363", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "1538630363", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Montoya Chavez", "first_name": "Pablo", "middle_name": "Francisco", "gender": "Male", "npi": "1518757491", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "127025", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Anderson", "first_name": "Kerry", "gender": "Female", "npi": "1922892561", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pili", "first_name": "Brenda", "gender": "Female", "npi": "1265221709", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Dyell", "first_name": "Heidi", "middle_name": "Marie", "gender": "Female", "npi": "1083400758", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSPBYGMW", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gilbert", "first_name": "Jessica", "gender": "Female", "npi": "1558936351", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cianciola", "first_name": "Veronica", "gender": "Female", "npi": "1710776257", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Hernandez", "first_name": "Jairo", "middle_name": "Enrique", "gender": "Male", "npi": "1992594436", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Pederson", "first_name": "Jill", "middle_name": "Ann", "gender": "Female", "npi": "1750391678", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "LCSW20622", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Vargas", "first_name": "Angelica", "middle_name": "Esmeralda", "gender": "Female", "npi": "1801685342", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Dual Diagnosis,LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Adolescent,Foster Care,Seeking Safety,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Guzman", "first_name": "Maria", "middle_name": "Milagros", "gender": "Female", "npi": "1457157950", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Andrew", "middle_name": "Isaiah", "gender": "Male", "npi": "1184439697", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Coley", "first_name": "Fatima", "middle_name": "Marie", "gender": "Female", "npi": "1013357748", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Lopez", "first_name": "Heinrich", "gender": "Male", "npi": "1457147670", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thai", "first_name": "Ryan", "gender": "Male", "npi": "1942046420", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Naranapatty", "first_name": "Shriya", "gender": "Female", "npi": "1184414757", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez-Castell", "first_name": "Marylu", "gender": "Female", "npi": "1740015296", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jimenez", "first_name": "Andrew", "middle_name": "Reynaldo", "gender": "Male", "npi": "1356057673", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Foster Home Youth,Gangs,Group Home Youth,Hearing Impaired,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Physically Disabled,Refugee,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "152436", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Adolescent,Co-Occurring Disorders,Individual Therapy,Seriously Emotionally Disturbed (SED),Family Therapy" } ] }, { "last_name": "Pham", "first_name": "Lan", "gender": "Female", "npi": "1437295425", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Amici", "first_name": "Caterina", "gender": "Female", "npi": "1053158170", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Geriatric Issues,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "111666", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Adolescent,Anxiety Disorders,Anger Management,Attention Deficit Hyperactivity Disorder (ADHD),Bipolar Disorders,Case Management,Child and Family Meeting (CFT),Children,Crisis Intervention Services,Depressive Disorders,Foster Care,Impulse-Control Disorders,Katie A. Services,LGBTQ+" } ] }, { "last_name": "Neidhardt", "first_name": "Rosa", "middle_name": "Esther", "gender": "Female", "npi": "1528775350", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "110525", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Lovatto", "first_name": "Donna", "gender": "Female", "npi": "1770318461", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vivas", "first_name": "Kevin", "gender": "Male", "npi": "1033955778", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hudkins", "first_name": "Alyssa", "gender": "Female", "npi": "1649164401", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nevarez", "first_name": "Ariana", "gender": "Female", "npi": "1710775648", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garces", "first_name": "Jennifer", "middle_name": "Paulene", "gender": "Female", "npi": "1316688724", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95207635", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bermudez Tello", "first_name": "Erika", "middle_name": "Francisca", "gender": "Female", "npi": "1295629343", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "155315", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Silao", "first_name": "Philip", "gender": "Male", "npi": "1790576478", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Natalie", "gender": "Female", "npi": "1154139210", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chalfant", "first_name": "Alex", "middle_name": "Elgin", "gender": "Male", "npi": "1194330779", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "113779", "license_type": "Associate Clinical Social Worker", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wright", "first_name": "Dylan", "gender": "Male", "npi": "1801592019", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Edea", "middle_name": "Sakura", "gender": "Female", "npi": "1225808520", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Coverson", "first_name": "Veronica", "middle_name": "Joy", "gender": "Female", "npi": "1770378291", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "149044", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Shaw", "first_name": "Gabrielle", "middle_name": "Lorraine", "gender": "Female", "npi": "1932987161", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vera", "first_name": "Alfonso", "gender": "Male", "npi": "1922687904", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A184196", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chwe", "first_name": "Angela", "middle_name": "", "gender": "Female", "npi": "1487202214", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Asian/Pacific Islander,Bicultural/Multicultural issues,Co-Occurring Disorders,Korean,Military Culture,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "148126", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Crisis Intervention Services,Case Management,Obsessive Compulsive Disorders and Related Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Individual Therapy" } ] }, { "last_name": "Chao", "first_name": "Dianey", "middle_name": "Burgos", "gender": "Female", "npi": "1851286272", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "120090", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Magana", "first_name": "Victor", "middle_name": "Manuel", "gender": "Male", "npi": "1538701040", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSKBMCYS", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Amaya-McDonald", "first_name": "Darlene", "middle_name": "Louisa", "gender": "Female", "npi": "1346349263", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "171763", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Bautista", "first_name": "Allan", "gender": "Male", "npi": "1083094619", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "238560", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Caicedo", "first_name": "Luis", "middle_name": "Roberto", "gender": "Male", "npi": "1427516707", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "280398", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Cardenas", "first_name": "Cezar", "middle_name": "Noel", "gender": "Male", "npi": "1790023877", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95035963", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Chu", "first_name": "David", "middle_name": "", "gender": "Male", "npi": "1184438871", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95348053", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Coquia", "first_name": "Pio", "middle_name": "Carmelo Bernardo", "gender": "Male", "npi": "1407488554", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "729662", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Davis", "first_name": "Kaitlyn", "gender": "Female", "npi": "1760291090", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "720015", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Figueroa", "first_name": "Neal", "gender": "Male", "npi": "1801509492", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95226467", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Flynn", "first_name": "Kevin", "gender": "Male", "npi": "1285720003", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15686", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Le", "first_name": "Jennifer", "gender": "Female", "npi": "1588220271", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "142284", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Martinez", "first_name": "Fidel", "gender": "Male", "npi": "1487021069", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95028120", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Riley", "first_name": "Shannon", "middle_name": "Katelynn", "gender": "Female", "npi": "1760253264", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "162594", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Sheppard", "first_name": "Chad", "middle_name": "Cameron", "gender": "Male", "npi": "1588459747", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95263602", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Vu", "first_name": "Sarah", "middle_name": "Phuong", "gender": "Female", "npi": "1790001147", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "542485", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Marana", "first_name": "Rhea", "middle_name": "Apin", "gender": "Female", "npi": "1316331663", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95002263", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Wheeler", "first_name": "John", "middle_name": "Edward", "gender": "Male", "npi": "1477447274", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "153680", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Hariri", "first_name": "Leila", "middle_name": "Haley", "gender": "Female", "npi": "1245894633", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Hearing Impaired,Justice Involved,LGBTQ+,Middle Eastern,Military Culture,Pacific Asian,Refugee,Teens,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "182484", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Family Therapy" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "182484", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "Individual Therapy,Family Therapy" } ] }, { "last_name": "Pham", "first_name": "Dung", "gender": "Female", "npi": "1346044120", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSPRNCFY", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Yulyana", "gender": "Female", "npi": "1659026169", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSAIOPLM", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Emmitt", "first_name": "Margaret", "gender": "Female", "npi": "1407231087", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "106841", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Blodgett", "first_name": "Stephanie", "middle_name": "Dawn", "gender": "Female", "npi": "1720287170", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19213", "license_type": "Physician Assistants", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Brinkley", "first_name": "Josefina", "gender": "Female", "npi": "1033951371", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "40209", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Bui", "first_name": "Cindy", "gender": "Female", "npi": "1922481324", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "192832", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Chandran", "first_name": "Vijay", "middle_name": "", "gender": "Male", "npi": "1801283692", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "171281", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Wilson", "first_name": "Sharlena", "middle_name": "Patriece", "gender": "Female", "npi": "1720407901", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "142653", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Charles", "first_name": "Marc", "middle_name": "", "gender": "Male", "npi": "1316032386", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G40535", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Daniel", "first_name": "Emad", "gender": "Male", "npi": "1205034287", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123454", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Espejo", "first_name": "Frederick", "gender": "Male", "npi": "1316782519", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "40804", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Vu", "first_name": "Austin", "gender": "Male", "npi": "1942769195", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19391", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Upadhyaya", "first_name": "Mihir", "middle_name": "Ashok", "gender": "Male", "npi": "1366963308", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "165031", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Granados", "first_name": "Kenneth", "middle_name": "", "gender": "Male", "npi": "1225486251", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "54033", "license_type": "Physician Assistants", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Toohey", "first_name": "Tara", "middle_name": "Pundiak", "gender": "Female", "npi": "1568655306", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "130519", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Kan", "first_name": "Aaron", "middle_name": "", "gender": "Male", "npi": "1578849816", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21892", "license_type": "Physician Assistants", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Stiles", "first_name": "Dixie", "gender": "Female", "npi": "1386613941", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14661", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lumantas", "first_name": "Froilan", "middle_name": "Troy Almonte", "gender": "Male", "npi": "1629889605", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "42168", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Paik", "first_name": "Samuel", "gender": "Male", "npi": "1437591674", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "52105", "license_type": "Physician Assistants", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Nguyen", "first_name": "Han", "gender": "Female", "npi": "1275110850", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "191465", "license_type": "Physician", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Ortiz", "first_name": "Ivan", "gender": "Male", "npi": "1578344891", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "41673", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Mendoza", "first_name": "Audrey", "gender": "Female", "npi": "1275323842", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Harman", "first_name": "Carlee", "gender": "Female", "npi": "1194355651", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95138562", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Patel", "first_name": "Damini", "gender": "Female", "npi": "1255132841", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95396871", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Ignacio", "first_name": "Jessica", "middle_name": "Erin", "gender": "Female", "npi": "1649073321", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95264776", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Dang", "first_name": "Kim", "gender": "Female", "npi": "1083428197", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95400936", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Perez", "first_name": "Xiomara", "gender": "Female", "npi": "1649932351", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "127023", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Gutierrez", "first_name": "Marisela", "gender": "Female", "npi": "1760200471", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95376524", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Nguyen", "first_name": "Dien", "middle_name": "Son", "gender": "Male", "npi": "1427704204", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "125810", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Sim", "first_name": "Enrique", "gender": "Male", "npi": "1437985819", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "579201", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Fiorella", "first_name": "Bradley", "middle_name": "Anthony", "gender": "Male", "npi": "1760215032", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95388757", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Medina", "first_name": "Carol", "middle_name": "Dominic Floreza", "gender": "Male", "npi": "1619096351", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "98302", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Le", "first_name": "Jeremy", "middle_name": "Quang", "gender": "Male", "npi": "1043836257", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "120621", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Cledera", "first_name": "Carolyn", "middle_name": "Grace", "gender": "Female", "npi": "1114443264", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "76937", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Bernoulli", "first_name": "Paul", "middle_name": "Robert", "gender": "Male", "npi": "1558943860", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "628912", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Tamas", "first_name": "Denise", "middle_name": "Gabriel", "gender": "Male", "npi": "1659991289", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95016586", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Esfahani", "first_name": "Parisa", "middle_name": "Jean", "gender": "Female", "npi": "1184460859", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123545", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Canonizado", "first_name": "Honeylett", "middle_name": "Mae", "gender": "Female", "npi": "1356122238", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95334258", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Cisneros", "first_name": "Faviola", "middle_name": "Lizet", "gender": "Female", "npi": "1730879230", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95333091", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Kent", "first_name": "Nicolette", "middle_name": "Ashley", "gender": "Female", "npi": "1265160352", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "114127", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Britt", "first_name": "Michelle", "middle_name": "Chieme", "gender": "Female", "npi": "1700376621", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95103083", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Brown", "first_name": "Stephen", "middle_name": "Joseph", "gender": "Male", "npi": "1053464420", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "16540", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Garnir", "first_name": "Glenn", "middle_name": "Aurellano", "gender": "Male", "npi": "1962077818", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "530380", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Buckelew", "first_name": "Lacey", "middle_name": "Jane", "gender": "Female", "npi": "1417624859", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124851", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Aderson", "first_name": "Darrell", "middle_name": "Wayne", "gender": "Female", "npi": "1992456800", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95265676", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Choi", "first_name": "Yongsil", "gender": "Female", "npi": "1326741034", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95322053", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Marick", "first_name": "Michael", "middle_name": "James", "gender": "Male", "npi": "1710623707", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95043370", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Borja Rivera", "first_name": "Itzel", "gender": "Female", "npi": "1578261384", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123120", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Ochsner", "first_name": "Jake", "middle_name": "Robert", "gender": "Male", "npi": "1215660048", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "779267", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Quiggle-Weisshaar", "first_name": "Monica", "middle_name": "Mary", "gender": "Female", "npi": "1801503966", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95141009", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Lam", "first_name": "Yuen Yee", "middle_name": "Grace", "gender": "Female", "npi": "1730892860", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "437083", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Galindo", "first_name": "Linh", "middle_name": "Mai", "gender": "Female", "npi": "1942998455", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95024906", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Rogers", "first_name": "Susannah", "middle_name": "Lee", "gender": "Female", "npi": "1588331318", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026173", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Celi", "first_name": "Mylynne", "gender": "Female", "npi": "1962041483", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95025260", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Bradley", "first_name": "Kristin", "middle_name": "Marie", "gender": "Female", "npi": "1811511744", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95014035", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Corona", "first_name": "Ronnie", "middle_name": "Alvarez", "gender": "Male", "npi": "1982229571", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95013965", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Oluwayemisi", "first_name": "Daramola", "gender": "Female", "npi": "1215379276", "taxonomy": "363LF0000X", "taxonomy_description": "Nurse Practitioner Family", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22936", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Moore", "first_name": "Brian", "middle_name": "Vincent", "gender": "Male", "npi": "1417474123", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95085518", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Nambar", "first_name": "Raymond", "gender": "Male", "npi": "1780089565", "taxonomy": "163WP0809X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "819079", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Eagatatt", "first_name": "Tommy", "middle_name": "Petch", "gender": "Male", "npi": "1306699418", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95231640", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Blue", "first_name": "McKennah", "gender": "Female", "npi": "1912699828", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "9533097", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Cordova", "first_name": "Chelsea", "gender": "Female", "npi": "1851046635", "taxonomy": "163WP0809X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95252636", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Nguyen", "first_name": "Kieu Hanh", "middle_name": "Thi", "gender": "Female", "npi": "1316048242", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "592146", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Obeng", "first_name": "Gladys", "gender": "Female", "npi": "1356559553", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95011262", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Galindo", "first_name": "Christopher", "gender": "Male", "npi": "1639718133", "taxonomy": "163WP0809X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "550405", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "Adults/Older Adults", "specialties": "Rehabilitation Counseling" } ] }, { "last_name": "Ogunjale", "first_name": "Oluwatoyin", "middle_name": "Monsurat", "gender": "Female", "npi": "1326605148", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95011856", "license_type": "Physician Assistants", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Ahyou", "first_name": "Clayton", "middle_name": "Abraham", "gender": "Male", "npi": "1912499021", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95233341", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Tran", "first_name": "Lynn", "gender": "Female", "npi": "1265712806", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "211986", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Travis", "first_name": "Diana", "middle_name": "Frances", "gender": "Female", "npi": "1538426929", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95153380", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Zavaleta", "first_name": "Edgar", "middle_name": "Nectali", "gender": "Female", "npi": "1558841957", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95023713", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Angeles", "first_name": "Raitchell", "middle_name": "C", "gender": "Female", "npi": "1033884127", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95247427", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Avila", "first_name": "Vanessa", "gender": "Female", "npi": "1538562806", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "106042", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Bailey", "first_name": "Kristen", "middle_name": "Anne", "gender": "Female", "npi": "1992551980", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "840676", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Zia", "first_name": "Muhammad", "middle_name": "Shafiq", "gender": "Male", "npi": "1497851844", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "C40085", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Balzano", "first_name": "Melissa", "middle_name": "Marie", "gender": "Male", "npi": "1659955326", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95033271", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Wojtanowicz", "first_name": "Todd", "middle_name": "Ramsey", "gender": "Male", "npi": "1922491596", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A158817", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Barnes Martinez", "first_name": "Clayton", "middle_name": "Abbott", "gender": "Male", "npi": "1922453513", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "150795", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Veloso", "first_name": "Matthew", "middle_name": "Eric", "gender": "Male", "npi": "1831988492", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "731165", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Bayani", "first_name": "Robert", "middle_name": "Quero", "gender": "Male", "npi": "1689142879", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "36459", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Velante", "first_name": "Arthur", "middle_name": "Emmanuel", "gender": "Male", "npi": "1366073298", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95058102", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Byrd", "first_name": "Hayley", "middle_name": "Alexis", "gender": "Female", "npi": "1558851477", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95138496", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Vargas-Caudillo", "first_name": "Stephanie", "middle_name": "", "gender": "Female", "npi": "1992498638", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "124157", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Castro", "first_name": "Liana", "middle_name": "Elaine", "gender": "Female", "npi": "1255747341", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "112882", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Van", "first_name": "Yen", "middle_name": "Phuong Thi", "gender": "Female", "npi": "1972067106", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95403291", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Chavez", "first_name": "Julia", "middle_name": "Rae", "gender": "Female", "npi": "1356036255", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "113025", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "113025", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Cho", "first_name": "Austina", "middle_name": "Bongnai", "gender": "Female", "npi": "1780770453", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A62871", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Codero", "first_name": "Ana", "middle_name": "Maureen", "gender": "Female", "npi": "1003439506", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "763836", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Tucay", "first_name": "Adrianne", "gender": "Female", "npi": "1376333237", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95203739", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Trieu", "first_name": "John", "gender": "Male", "npi": "1528478112", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95000352", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support" } ] }, { "last_name": "Stevenson", "first_name": "Sierra", "middle_name": "Nicole", "gender": "Female", "npi": "1083341549", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95244189", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "David", "first_name": "April", "middle_name": "Ray", "gender": "Female", "npi": "1306698089", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95294816", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Stellino", "first_name": "Michele", "middle_name": "Marie", "gender": "Female", "npi": "1164006847", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95154762", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Delpasand", "first_name": "Brian", "gender": "Male", "npi": "1841795119", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A163272", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Sourm", "first_name": "Sophanny", "middle_name": "Long", "gender": "Female", "npi": "1891384566", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Cambodian", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95044680", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Spratt", "first_name": "Brianna", "middle_name": "Janine", "gender": "Female", "npi": "1316746472", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "42648", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Low Income Populations" } ] }, { "last_name": "Doan", "first_name": "Thang", "middle_name": "Quoc", "gender": "Male", "npi": "1841957750", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95264910", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Slattery", "first_name": "Troi", "middle_name": "", "gender": "Female", "npi": "1639576481", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "86658", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Edwards", "first_name": "Gabriella", "middle_name": "Diedre", "gender": "Female", "npi": "1891034427", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95265400", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Singleton", "first_name": "Kelly", "middle_name": "Anne", "gender": "Female", "npi": "1053877647", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95250567", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Ejimole", "first_name": "Nkemjika", "gender": "Female", "npi": "1902204738", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95633", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Epstein", "first_name": "Marcy", "middle_name": "Wohl", "gender": "Female", "npi": "1326371105", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "8963", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Recovery Based Treatment Planning,Medication Education, Management, and Support" } ] }, { "last_name": "Espinoza", "first_name": "Sarah", "gender": "Female", "npi": "1700495413", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "125534", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Fendt", "first_name": "Rhonda", "middle_name": "Margaret", "gender": "Female", "npi": "1073102927", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95106319", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Garcia", "first_name": "Carla", "middle_name": "Isela", "gender": "Female", "npi": "1073197992", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95197658", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Siddiqui", "first_name": "Kamran", "gender": "Male", "npi": "1093493777", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Hindi", "fluency": "Fluent" }, { "language": "Urdu", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95276009", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Saldana", "first_name": "Christina", "middle_name": "Ann", "gender": "Female", "npi": "1053034074", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "American Sign Language (ASL)", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95178893", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Rivas", "first_name": "Alison", "gender": "Female", "npi": "1245664937", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "37045", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Prodromides", "first_name": "Carrie", "middle_name": "Frances", "gender": "Female", "npi": "1518750421", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "201922", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Parris", "first_name": "Jessica", "middle_name": "Nicole", "gender": "Female", "npi": "1225401359", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "99787", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Park", "first_name": "Andrew", "middle_name": "Chunkil", "gender": "Male", "npi": "1982137519", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A160795", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Guzman-Hernandez", "first_name": "Kristine", "middle_name": "Elizabeth", "gender": "Female", "npi": "1356900138", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "115831", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Pearson", "first_name": "Ivan", "middle_name": "Occeno", "gender": "Male", "npi": "1710658224", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95249758", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Kehnt", "first_name": "Jessika", "middle_name": "Maree", "gender": "Female", "npi": "1639985112", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "125672", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Owuor", "first_name": "Leonora", "middle_name": "Salome", "gender": "Female", "npi": "1770325847", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "117406", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Kesler", "first_name": "Klem", "middle_name": "O", "gender": "Female", "npi": "1255172797", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Hearing Impaired,HIV/AIDS,Iranian,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Pacific Asian,Refugee,Teens,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "724007", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Ortega", "first_name": "Nancy", "middle_name": "Mayela", "gender": "Female", "npi": "1265772875", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "35810", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Lee", "first_name": "Ashton", "middle_name": "Arthur", "gender": "Male", "npi": "1952952665", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95202817", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Olano", "first_name": "Martin", "middle_name": "Penales", "gender": "Male", "npi": "1366159501", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "694236", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Leos", "first_name": "Brandy", "middle_name": "Yvette", "gender": "Female", "npi": "1427398015", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95415598", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Olano", "first_name": "Marlon", "middle_name": "Penales", "gender": "Male", "npi": "1780309484", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95268812", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Nieto", "first_name": "Brittani", "gender": "Female", "npi": "1194439984", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95354130", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Ngo", "first_name": "Jasmine", "gender": "Female", "npi": "1841186715", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95400254", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Ngo", "first_name": "David", "middle_name": "Alexander", "gender": "Female", "npi": "1245610948", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A15286", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Muzyka", "first_name": "Natalya", "middle_name": "Ivanivna", "gender": "Female", "npi": "1467728758", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95229007", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Loyola", "first_name": "Julius", "middle_name": "Vallo", "suffix": "", "gender": "Male", "npi": "1205362647", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "773634", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Moore", "first_name": "Mary", "middle_name": "Elizabeth", "gender": "Female", "npi": "1396994182", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A111197", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Malik-Islam", "first_name": "Kiran", "middle_name": "Idrees", "gender": "Female", "npi": "1366986788", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "132358", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Millon", "first_name": "Dajahnee", "middle_name": "Jasmine", "gender": "Female", "npi": "1083303051", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "718689", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Mcelroy", "first_name": "Jude", "middle_name": "James", "gender": "Male", "npi": "1356768436", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A139436", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Kim", "first_name": "Elizabeth", "middle_name": "Hyun", "gender": "Female", "npi": "1770233314", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "188962", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Depressive Disorders,Schizophrenia Spectrum and Other Psychotic Disorders,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Nguyen", "first_name": "Huong", "gender": "Female", "npi": "1689280042", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A190783", "license_type": "Physician", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sandhu", "first_name": "Pappanropp", "middle_name": "Jordan", "gender": "Male", "npi": "1821730342", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A191271", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Bipolar Disorders,Low Income Populations,Medication Education, Management, and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A191271", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cooper", "first_name": "Emma", "middle_name": "Charlotte", "gender": "Female", "npi": "1760066351", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A186442", "license_type": "Physician", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Abarca", "first_name": "Alexia", "middle_name": "Nicole", "gender": "Female", "npi": "1427849769", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Kahl", "first_name": "Cynthia", "gender": "Female", "npi": "1750736617", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "143441", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "White", "first_name": "Ian", "gender": "Male", "npi": "1730844176", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Zhen", "first_name": "Mei", "gender": "Female", "npi": "1508272568", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" }, { "language": "Cantonese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS OC Asian and Pacific Islander Community Alliance", "entity": "01506", "npi2": "1386784650", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X", "site_taxonomy_description": "Voluntary or Charitable", "address_line_1": "12912 BROOKHURST ST.", "address_line_2": "467, 480", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4835", "phone": "714-636-9095", "webSite": "http://www.ocapica.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dongprateep", "first_name": "Sandra", "gender": "Female", "npi": "1093505745", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "David", "middle_name": "Quang", "gender": "Male", "npi": "1881587244", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "617497", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "617497", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "617497", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "617497", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education and Support" } ] }, { "last_name": "Angel", "first_name": "April", "middle_name": "Ann", "gender": "Female", "npi": "1215558242", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95391607", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Ng", "first_name": "Tiffany", "middle_name": "Go", "gender": "Female", "npi": "1154746030", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "109018", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Managing and Adapting Practice (MAP),Aging,Case Management,Family Therapy,Educational Related Mental Health Services,Juvenile Justice" } ] }, { "last_name": "Juarez", "first_name": "Ariana", "middle_name": "Julia", "gender": "Female", "npi": "1871101824", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "155346", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Nguyen", "first_name": "Cathy", "middle_name": "Nhu'y", "gender": "Female", "npi": "1821657594", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153750", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Individual Therapy" } ] }, { "last_name": "Ramirez", "first_name": "Leslie", "middle_name": "Elizabeth", "gender": "Female", "npi": "1205402302", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Kayl", "first_name": "Melinda", "middle_name": "Elizabeth", "gender": "Female", "npi": "1154131159", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "MPSSLCWHAV", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "22471 ASPAN ST.", "address_line_2": "103", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Mindfulness" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "MPSSLCWHAV", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Mindfulness" } ] }, { "last_name": "Leonard", "first_name": "Jennifer", "middle_name": "Colleen", "gender": "Female", "npi": "1053741223", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "75737", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Daza", "first_name": "Dianne", "gender": "Female", "npi": "1932697323", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pirnia", "first_name": "Soheila", "gender": "Female", "npi": "1104469162", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "153399", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pamintuan", "first_name": "Jazmine", "gender": "Female", "npi": "1811570682", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Veterans,Teens,LGBTQ+,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "149414", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "Adults/Older Adults,Adults,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Person-Centered Therapy,Narrative Therapy,Structural Therapy,Gestalt Therapy,Dialectical Behavior Therapy (DBT),Motivational Interviewing (MI),Trauma Informed Care,Solution Focused Therapy,Seeking Safety,Mindfulness,Domestic Violence Treatment,Strengths-Based Care,Crisis Intervention Services,Rehabilitation Counseling,Assertive Community Treatment (ACT),Vocational/Educational Support" } ] }, { "last_name": "Fairweather", "first_name": "Huey", "middle_name": "Lion", "gender": "Male", "npi": "1720560519", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "128646", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Individual Therapy,Co-Occurring Disorders" } ] }, { "last_name": "Caceda", "first_name": "Priscila", "gender": "Female", "npi": "1619708278", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "130942", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Williams", "first_name": "Jacob", "gender": "Male", "npi": "1255818340", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castro", "first_name": "Clarissa", "middle_name": "Marie", "gender": "Female", "npi": "1225860620", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "131396", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hirate", "first_name": "Baila", "gender": "Female", "npi": "1275320368", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castro Vasquez", "first_name": "Elizabeth", "gender": "Female", "npi": "1427754266", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pfister", "first_name": "Kathryn", "gender": "Female", "npi": "1356701403", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Sallie", "first_name": "Thomas", "gender": "Male", "npi": "1518732619", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Mills", "first_name": "Christopher", "gender": "Male", "npi": "1578081691", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "241832", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Pittard", "first_name": "Bailey", "middle_name": "James Lee", "gender": "Male", "npi": "1457141392", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Campos", "first_name": "Franki", "middle_name": "Michelle", "gender": "Female", "npi": "1326838277", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Dang", "first_name": "Jessica", "gender": "Female", "npi": "1336939859", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Guzman Guevara", "first_name": "Stephany", "gender": "Female", "npi": "1821895608", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Flores", "first_name": "Emily", "gender": "Female", "npi": "1972393338", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Anderson", "first_name": "Michaela", "middle_name": "Francene Juliette", "gender": "Female", "npi": "1093507832", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Ramos", "first_name": "Gloria", "middle_name": "Juliet", "gender": "Female", "npi": "1376213181", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Medrano Duarte", "first_name": "Abigail", "middle_name": "", "gender": "Female", "npi": "1528857323", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Castro Zambrano", "first_name": "Anahi", "gender": "Female", "npi": "1750170569", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "133049", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Anahi", "gender": "Female", "npi": "1053204453", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Romero", "first_name": "Anayely", "gender": "Female", "npi": "1861282147", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Bravo", "first_name": "Belinda", "gender": "Female", "npi": "1851181937", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Portillo", "first_name": "Benjamin", "middle_name": "Steven", "gender": "Male", "npi": "1023807963", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Olmedo", "first_name": "Bryan", "middle_name": "", "gender": "Male", "npi": "1326837147", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Early", "first_name": "Bryn", "middle_name": "McCall", "gender": "Female", "npi": "1902695760", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,LGBTQ+,Multicultural,Multilingual,Multiracial", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Guardian", "first_name": "Carince", "gender": "Female", "npi": "1104619196", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Swanson", "first_name": "Danielle", "gender": "Female", "npi": "1154110914", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Nguyen", "first_name": "Davy", "gender": "Male", "npi": "1033909197", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Padilla", "first_name": "Elsa", "gender": "Female", "npi": "1285521344", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Assertive Community Treatment (ACT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Trauma Informed Care" } ] }, { "last_name": "Story", "first_name": "Emilie", "middle_name": "Faith", "gender": "Female", "npi": "1033909114", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Lam", "first_name": "Emily", "gender": "Female", "npi": "1245020692", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Juarez-Cruz", "first_name": "Erika", "gender": "Female", "npi": "1255007845", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Munoz-Salinas", "first_name": "Gail", "middle_name": "Lissette", "gender": "Female", "npi": "1891584330", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Lopez", "first_name": "Graciela", "gender": "Female", "npi": "1265222343", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Jimenez", "first_name": "Jesus", "middle_name": "Andres", "gender": "Male", "npi": "1467242610", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Gomez", "first_name": "Kaitlan", "gender": "Female", "npi": "1619769676", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fuentes", "first_name": "Lizeth", "gender": "Female", "npi": "1255120796", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Gonzalez", "first_name": "Lizette", "gender": "Female", "npi": "1558150490", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Multicultural,Multilingual,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Music Therapy,Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Velazquez", "first_name": "Maricella", "gender": "Female", "npi": "1689463465", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Palmer", "first_name": "Matthew", "middle_name": "Alan", "gender": "Male", "npi": "1447040522", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Hernandez", "first_name": "Nicole", "middle_name": "Lynn", "gender": "Female", "npi": "1992594824", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,LGBTQ+,Adolescent,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Garcia", "first_name": "Nicole", "gender": "Female", "npi": "1174312615", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castelan", "first_name": "Roxana", "gender": "Female", "npi": "1730970880", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Adults,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Bartlett", "first_name": "Ryan", "middle_name": "Michael", "gender": "Male", "npi": "1801687058", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Bones", "first_name": "Ryleh", "middle_name": "Morgan", "gender": "Female", "npi": "1770344681", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Brandt", "first_name": "Semonne", "middle_name": "Oceana", "gender": "Female", "npi": "1033902788", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Chhay", "first_name": "Shannyna", "gender": "Female", "npi": "1457141889", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Suarez", "first_name": "Stephanie", "gender": "Undisclosed", "npi": "1184413627", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Roman", "first_name": "Valeria", "gender": "Female", "npi": "1942865258", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Bates", "first_name": "London", "middle_name": "Leann", "gender": "Female", "npi": "1316710270", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Adoptees,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,Geriatric Issues,Hearing Impaired,HIV/AIDS,Iranian,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Native American,Older Adults,Pacific Asian,Refugee,Teens,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95182936", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Khraisat", "first_name": "Tasneem", "gender": "Female", "npi": "1447988514", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Refugee,Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156849", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "Aging,Anger Management,Family Therapy,Individual Therapy,Rehabilitation Counseling,Co-Occurring Disorders" } ] }, { "last_name": "Kingman", "first_name": "Gwyneth", "middle_name": "Jacqueline", "gender": "Female", "npi": "1861389116", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alvarado", "first_name": "Christian", "middle_name": "Lee", "gender": "Male", "npi": "1538702857", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123092", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS College Hospital Crisis Stabilization Unit", "entity": "02217", "npi2": "1760962419", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QU0200X", "site_taxonomy_description": "Clinic/Center", "address_line_1": "301 VICTORIA ST", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "949-642-2734", "webSite": "https://chcm.us/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Crisis Stabilization unit serving Adults and OA with severe and persistent mental illness." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cortes", "first_name": "Jaileene", "middle_name": "Priscilla", "gender": "Female", "npi": "1730715517", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "145125", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Parra", "first_name": "Nicole", "middle_name": "Liane", "gender": "Female", "npi": "1972382885", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "11971", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Yi", "first_name": "Erin", "gender": "Female", "npi": "1891678694", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS KCS FSP Project Focus", "entity": "01506", "npi2": "1730323585", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "13091 GALWAY ST", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92844-1633", "phone": "714-539-4544", "webSite": "https://www.koreancommunity.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kim", "first_name": "Min Ju", "gender": "Female", "npi": "1700769502", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS KCS FSP Project Focus", "entity": "01506", "npi2": "1730323585", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "13091 GALWAY ST", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92844-1633", "phone": "714-539-4544", "webSite": "https://www.koreancommunity.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rai", "first_name": "Damonpreet", "middle_name": "Kaur", "gender": "Female", "npi": "1235916206", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132112", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Family Therapy,Individual Therapy" } ] }, { "last_name": "Arenas", "first_name": "Christine", "middle_name": "Emmary", "gender": "Female", "npi": "1669358404", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pacheco", "first_name": "Alma", "middle_name": "Nydia", "gender": "Female", "npi": "1467760108", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "109825", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Billiou", "first_name": "Kayla", "middle_name": "Michelle", "gender": "Female", "npi": "1669007167", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "118374", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Didomencio", "first_name": "Phatimah", "gender": "Female", "npi": "1851066799", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Goias", "first_name": "Hanna", "gender": "Female", "npi": "1588540041", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Forrester", "first_name": "Samuel", "middle_name": "Lowrie", "gender": "Male", "npi": "1467242388", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Moriel", "first_name": "Sarah", "gender": "Female", "npi": "1124802111", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tec", "first_name": "Karen", "middle_name": "Gissela", "gender": "Female", "npi": "1588542443", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lauing", "first_name": "Susan", "middle_name": "Mae", "gender": "Female", "npi": "1871274415", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "132729", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortiz", "first_name": "Briana", "gender": "Female", "npi": "1437874575", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Agyepong", "first_name": "Brihana", "middle_name": "Alexia", "gender": "Female", "npi": "1043867161", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19242", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Co-Occurring Disorders,Crisis Intervention Services,Case Management" } ] }, { "last_name": "Gonzalez", "first_name": "Kimberly", "middle_name": "Sanchez", "gender": "Female", "npi": "1194603068", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Quitania", "first_name": "Shane", "middle_name": "Nicole Quintos", "gender": "Female", "npi": "1366339772", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Co-Occurring Disorders,Dual Diagnosis,European-American,Hearing Impaired,HIV/AIDS,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Military Culture,Multicultural,Multiracial,Native American,Pacific Asian,Physically Disabled,Veterans,Victims of Abuse,Vietnamese,Visually Impaired", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95126818", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults,Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Franco", "first_name": "Joshua", "middle_name": "Emmanuel", "gender": "Female", "npi": "1700769544", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ochoa", "first_name": "Katherine", "gender": "Female", "npi": "1174409544", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Adrian", "gender": "Female", "npi": "1275378721", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Barron", "first_name": "Kristina", "gender": "Female", "npi": "1982206116", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "96594", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Garcia", "first_name": "Yessel", "middle_name": "Celeste", "gender": "Female", "npi": "1932911997", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132539", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Canero", "first_name": "Katherine", "middle_name": "Guzman", "gender": "Female", "npi": "1528610243", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Martinez Blanco", "first_name": "Diana", "middle_name": "Ixchel", "gender": "Female", "npi": "1568114700", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "140754", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Solis Ambriz", "first_name": "Stephanie", "gender": "Female", "npi": "1508641473", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "131982", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mejia", "first_name": "Viviana", "gender": "Female", "npi": "1457976235", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156246", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Velasquez", "first_name": "David", "gender": "Male", "npi": "1639058969", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Aihara", "first_name": "Emily", "middle_name": "Melissa", "gender": "Female", "npi": "1891239075", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "125600", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT South", "entity": "00030", "npi2": "1922145143", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "23228 MADERO", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-2706", "phone": "(949) 454-3940", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "Adults,Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Rodriguez", "first_name": "Manuel", "middle_name": "Eduardo", "gender": "Male", "npi": "1164301917", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Flores", "first_name": "Paulina", "middle_name": "Lizzethe", "gender": "Female", "npi": "1801770367", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Native American,Teens,Transitional Aged Youth (TAY),Veterans,Family Systems", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Anxiety Disorders,Children,Depressive Disorders,Family Therapy,Individual Therapy,Mood Disorders,Impulse-Control Disorders,Transitional Age Youth (TAY),Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Ortiz", "first_name": "Rudy", "middle_name": "Guzman", "gender": "Male", "npi": "1508657446", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Pain Management,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Varona", "first_name": "Neptalid", "gender": "Female", "npi": "1548051568", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Whitworth", "first_name": "Melissa", "middle_name": "Sue", "gender": "Female", "npi": "1588457675", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Madrid-Long", "first_name": "Guadalupe", "gender": "Female", "npi": "1083173876", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Co-Occurring Disorders,Dual Diagnosis,Justice Involved,Multicultural", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "105178", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Trauma Informed Care,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Ayala", "first_name": "Jessica", "middle_name": "Pauline", "gender": "Female", "npi": "1477343101", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CEGU OCFC (Orangewood Children & Family Center)", "entity": "00030", "npi2": "1366589244", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "301 THE CITY DRIVE S.", "address_line_2": "SUITE 2090", "city": "ORANGE", "state": "CA", "zip_code": "92868-3205", "phone": "(714) 935-6363", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Polanco", "first_name": "Billy", "middle_name": "Javier", "gender": "Male", "npi": "1821382169", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mason", "first_name": "Diane", "middle_name": "Joan", "gender": "Female", "npi": "1932402559", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "396268", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fernandez", "first_name": "Brian", "middle_name": "Anthony", "gender": "Male", "npi": "1265120315", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95319471", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Corsaut", "first_name": "Juana", "gender": "Female", "npi": "1770122012", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Jasmine", "middle_name": "Jaylee", "gender": "Female", "npi": "1063171155", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC Central (Youth Reporting Center)", "entity": "00030", "npi2": "1215055934", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1700 E SAINT ANDREW PL", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 667-7610", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Calvin", "gender": "Male", "npi": "1528254646", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Darvin", "first_name": "Edward", "middle_name": "Leroy", "gender": "Male", "npi": "1578065892", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Older Adults,Pacific Asian", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "806400", "license_type": "Nurse - RN, LPN, NA", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Depressive Disorders,Bipolar Disorders,Anxiety Disorders,Mood Disorders" } ] }, { "last_name": "Froelich", "first_name": "Ryan", "middle_name": "Charles", "gender": "Male", "npi": "1942475983", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "29462", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hassan", "first_name": "Tamara", "middle_name": "Ali", "gender": "Female", "npi": "1770274763", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "135613", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Juliana", "middle_name": "Marie", "gender": "Female", "npi": "1053924324", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "120939", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access North", "entity": "00030", "npi2": "1659695716", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X,261QM0801X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder,Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "303 W. LINCOLN AVE.", "address_line_2": "STE. 130", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2993", "phone": "(714) 520-7300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Karen", "middle_name": "Jailene", "gender": "Female", "npi": "1801788039", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rubio", "first_name": "Vanessa", "gender": "Female", "npi": "1477339604", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "131991", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Chavez", "first_name": "Ana", "gender": "Female", "npi": "1124817945", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Bonilla-Haenn", "first_name": "Bryce", "middle_name": "Caleb", "gender": "Male", "npi": "1851673966", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6905", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Walter", "first_name": "Cameron", "middle_name": "Clay", "gender": "Male", "npi": "1982220810", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Barbour", "first_name": "Frances", "gender": "Female", "npi": "1962381962", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Briana", "middle_name": "Cecilia", "gender": "Female", "npi": "1699254367", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "113433", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wilson", "first_name": "Sophia", "gender": "Female", "npi": "1487532255", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bastedo", "first_name": "Kristal", "gender": "Female", "npi": "1447141338", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rench", "first_name": "Katelin", "middle_name": "Nicole", "gender": "Female", "npi": "1013897966", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Karen", "middle_name": "Hong My", "gender": "Female", "npi": "1194605204", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT PAU Westminster", "entity": "00030", "npi2": "1649317116", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "200 & 223", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vigano", "first_name": "Cristina", "middle_name": "Desouza", "gender": "Female", "npi": "1598364010", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Stephanie", "middle_name": "Tzompantzi", "gender": "Female", "npi": "1942035886", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "131629", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Norton", "first_name": "Marquel", "middle_name": "Daman", "gender": "Male", "npi": "1891414546", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Gemanaru", "first_name": "Michelle", "gender": "Female", "npi": "1336035807", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Black", "first_name": "Jacy", "middle_name": "Leigh", "gender": "Female", "npi": "1104531615", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Ball", "first_name": "Skylar", "middle_name": "McKenzie", "gender": "Female", "npi": "1386521854", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schuman", "first_name": "Brooke", "middle_name": "Elizabeth", "gender": "Female", "npi": "1740167212", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Parnitvithikul", "first_name": "Samantha", "middle_name": "Micaela", "gender": "Female", "npi": "1861084089", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "117809", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jang", "first_name": "Nicole", "middle_name": "Grace", "gender": "Female", "npi": "1154003028", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Depressive Disorders,Individual Therapy,Mood Disorders" } ] }, { "last_name": "Carrillo-Gazmen", "first_name": "Izabella", "middle_name": "Mariah", "gender": "Female", "npi": "1447137260", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC North (Youth Reporting Center)", "entity": "00030", "npi2": "1407993249", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1920 W CORPORATE WAY", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5373", "phone": "(714) 687-6705", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Kidd", "first_name": "Lauren", "gender": "Female", "npi": "1336608405", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Celestino", "first_name": "Jaqueline", "middle_name": "Elizabeth", "gender": "Female", "npi": "1740174085", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Castaneda", "first_name": "Vanessa", "gender": "Female", "npi": "1336935378", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mayfield", "first_name": "Veronica", "middle_name": "Orosco", "gender": "Female", "npi": "1740175777", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "154397", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Emadi", "first_name": "Jazmyn", "gender": "Female", "npi": "1649040791", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Corona", "first_name": "Irene", "gender": "Female", "npi": "1619435781", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carrasco", "first_name": "Valeria", "gender": "Female", "npi": "1821979840", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jimenez", "first_name": "Reynaldo", "middle_name": "Joe", "gender": "Male", "npi": "1881837268", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "138647", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Open Access Costa Mesa", "entity": "00030", "npi2": "1730226499", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "2801 BRISTOL ST.", "address_line_2": "2ND FLOOR", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Rafael", "first_name": "Giselle", "gender": "Female", "npi": "1083410443", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hensley", "first_name": "Veronica", "middle_name": "Lynette", "gender": "Female", "npi": "1548965841", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS YRC Central (Youth Reporting Center)", "entity": "00030", "npi2": "1215055934", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1700 E SAINT ANDREW PL", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 667-7610", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Valdez", "first_name": "Jazzilyne", "gender": "Female", "npi": "1205408416", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "148181", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Charly", "gender": "Female", "npi": "1972484616", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lim", "first_name": "Hyojin", "gender": "Female", "npi": "1104286202", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSUPHTCB", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Leyton", "first_name": "Ingrid", "gender": "Female", "npi": "1740659176", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "27141 ALISO CREEK RD", "address_line_2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS LPS", "entity": "00030", "npi2": "1275670119", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "1300 S GRAND AVE", "address_line_2": "BLDG B, 3RD FLOOR", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-4434", "phone": "(714) 567-7688", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "LPS Mental Health provides services to public conservatees deemed gravely disabled due to mental illness." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Briceno", "first_name": "Luis", "middle_name": "Angel", "gender": "Male", "npi": "1922861749", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,HIV/AIDS,Justice Involved,Older Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95303226", "license_type": "Nurse - RN, LPN, NA", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Depressive Disorders,Bipolar Disorders,Anxiety Disorders,Mood Disorders" } ] }, { "last_name": "Sepulveda", "first_name": "Barbara", "middle_name": "Maciel", "gender": "Female", "npi": "1710282462", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Torres", "first_name": "Cesar", "gender": "Male", "npi": "1942901020", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Miller", "first_name": "Dana", "gender": "Female", "npi": "1336035922", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Baldiotti Vencato", "first_name": "Bianca", "gender": "Female", "npi": "1730979303", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Portuguese", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Basiana", "first_name": "Kyla", "middle_name": "Andrea", "gender": "Female", "npi": "1558013474", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Carranza", "first_name": "Julisa", "gender": "Female", "npi": "1154095313", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Fallah", "first_name": "Nicka", "gender": "Female", "npi": "1174416242", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Brenda", "gender": "Female", "npi": "1346033115", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Barrientos", "first_name": "Stephanie", "gender": "Female", "npi": "1437942182", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fisher", "first_name": "Lorena", "gender": "Female", "npi": "1477094613", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Morgan", "first_name": "Kristian", "middle_name": "William Alexander", "gender": "Male", "npi": "1962112136", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Catalan", "first_name": "Abisael", "gender": "Male", "npi": "1912881665", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lane", "first_name": "Tracy", "gender": "Female", "npi": "1508615741", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Multicultural,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Region", "entity": "00030", "npi2": "1578695466", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "23046 AVENIDA DE LA CARLOTA", "address_line_2": "SUITE 500", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653-1575", "phone": "(949) 643-6900", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Co-Occurring Disorders,Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Stress Management,Substance Use Disorder (SUD) Services and Education,Depressive Disorders,Obsessive Compulsive Disorders and Related Disorders,Rape,Suicide Assessment and Prevention,Addiction,Forensics,Recovery and Resilience Models,Schizophrenia Spectrum and Other Psychotic Disorders,Adolescent,Bipolar Disorders,Dialectical Behavior Therapy (DBT),Individual Therapy,Eye Movement Desensitization and Reprocessing,Seeking Safety,Anxiety Disorders,Trauma and Stress Related Disorders,Anger Management,Motivational Interviewing (MI)" } ] }, { "last_name": "Martinez", "first_name": "Cristy", "gender": "Female", "npi": "1861216210", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Native American,Older Adults,Pacific Asian,Veterans,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "127959", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adults,Adults/Older Adults,Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Lara", "first_name": "Jessica", "gender": "Female", "npi": "1396423661", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mathews", "first_name": "Uraci", "middle_name": "Monique", "gender": "Female", "npi": "1023261971", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Foster Home Youth,Gangs,Group Home Youth,LGBTQ+,Military Culture,Multicultural,Multilingual,Multiracial,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "155462", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "Adolescents,Adults,Adults/Older Adults,Children/Youth,Older Adults,Transitional Aged Youth", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Jasmine", "gender": "Female", "npi": "1902537889", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "19755", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3540 HOWARD WAY", "address_line_2": "150", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pham", "first_name": "Julie", "middle_name": "Anh", "gender": "Female", "npi": "1457231888", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RN95178601", "license_type": "Nurse - RN, LPN, NA", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alvarado", "first_name": "Ashley", "gender": "Female", "npi": "1508478272", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "94029056", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez Perez", "first_name": "Mayra", "middle_name": "Alejandra", "gender": "Female", "npi": "1508743691", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Benavides", "first_name": "Dereck", "middle_name": "Alexander", "gender": "Male", "npi": "1487236790", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Rosa", "gender": "Female", "npi": "1568912798", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,European-American,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Older Adults,Pacific Asian", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Depressive Disorders,Bipolar Disorders,Anxiety Disorders,Mood Disorders" } ] }, { "last_name": "Mercer", "first_name": "Anthony", "middle_name": "Curtis", "gender": "Male", "npi": "1427305846", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Adrian", "gender": "Male", "npi": "1275352809", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Feinmann", "first_name": "Alisa", "gender": "Female", "npi": "1992508790", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Santa Ana Clinic", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD.", "address_line_2": "STE. 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "(714) 480-6767", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Serrano", "first_name": "Alondra", "middle_name": "Berenise", "gender": "Female", "npi": "1013418227", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Medina", "first_name": "Erica", "gender": "Female", "npi": "1912513839", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rakshani", "first_name": "Leyla", "middle_name": "Skyler", "gender": "Female", "npi": "1124900725", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chin", "first_name": "Sophia", "gender": "Female", "npi": "1811878549", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Family Systems,Foster Home Youth,Group Home Youth,Justice Involved,LGBTQ+,Multicultural,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156992", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Autism Spectrum Disorders,Co-Occurring Disorders,Socialization Groups,Couple's Therapy,Solution Focused Therapy,CPR/First Aid Certified,Strengths-Based Care,Crisis Intervention Services,Stress Management,Structural Therapy,Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,Juvenile Justice,Katie A. Services,LGBTQ+,Narrative Therapy,Obsessive Compulsive Disorders and Related Disorders,Sand Tray and Art Therapy,Suicide Assessment and Prevention,Recovery and Resilience Models,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Foster Care,Individual Therapy,Anxiety Disorders,Grief & Bereavement,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Group Therapy,Interpersonal Therapy,Mindfulness,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Monjaras", "first_name": "Erika", "gender": "Female", "npi": "1689553307", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Navarro", "first_name": "Jennifer", "middle_name": "Diaz", "gender": "Female", "npi": "1407365091", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Almaguer", "first_name": "Manuela", "middle_name": "Guadalupe", "gender": "Female", "npi": "1750863163", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Kelly", "middle_name": "Tran", "gender": "Female", "npi": "1306691639", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Donaji", "middle_name": "Itzel", "gender": "Female", "npi": "1447065941", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rivera", "first_name": "Jacquelyn", "gender": "Female", "npi": "1811028871", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "27113", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kennedy", "first_name": "Sarah", "middle_name": "Justine", "gender": "Female", "npi": "1114264868", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "69940", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mai", "first_name": "Noemi", "gender": "Female", "npi": "1649394792", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "46357", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wilkey", "first_name": "Sarah", "middle_name": "Margaret", "gender": "Female", "npi": "1508380700", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "137224", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jagels", "first_name": "Julia", "gender": "Female", "npi": "1073377560", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "120151", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bitz", "first_name": "Courtney", "middle_name": "Jean", "gender": "Female", "npi": "1902408933", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "95440", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alvarez", "first_name": "Fabian", "gender": "Male", "npi": "1285304634", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "111035", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Carolina", "gender": "Female", "npi": "1417713710", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSHTICSQ", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Adolescents,Adults,Children/Youth,Transitional Aged Youth", "specialties": "Case Management" } ] }, { "last_name": "Alvarez-Dennard", "first_name": "Julianna", "gender": "Female", "npi": "1164309308", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Weeden", "first_name": "Olivia", "gender": "Female", "npi": "1154295095", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Neluayo", "first_name": "Annika", "gender": "Female", "npi": "1306454962", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "110664", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Adiputera", "first_name": "Yudha", "middle_name": "Mann", "gender": "Male", "npi": "1275014037", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "110428", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "MA", "first_name": "Charlene", "gender": "Female", "npi": "1023842101", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "131746", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Hebert", "first_name": "Alexandria", "gender": "Female", "npi": "1306711312", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS West Region", "entity": "00030", "npi2": "1124165667", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "STE. 155", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 896-7556", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Reniker", "first_name": "Lauren", "gender": "Female", "npi": "1811861578", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Veronica", "gender": "Female", "npi": "1710879945", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Chicano American,Children and Adolescents,Latino/Latina/LatinX,Serious Emotional Disturbance (SED) of a Child,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Transitional Aged Youth", "specialties": "Rehab/Intensive Home Based Services" } ] }, { "last_name": "Daniels", "first_name": "Jennifer", "gender": "Female", "npi": "1639720436", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Enriquez", "first_name": "Bryanna", "middle_name": "Lanai", "gender": "Female", "npi": "1881428662", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124534", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Elizabeth", "gender": "Female", "npi": "1194075028", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "142056", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Crisis Stabilization Unit", "entity": "00030", "npi2": "1598025793", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "1030 W WARNER AVE", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-3147", "phone": "714-834-6900", "webSite": "http://www.ochealthinfo.com/csu", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Crisis Intervention Services" } ] }, { "last_name": "Magan", "first_name": "Vanessa", "gender": "Female", "npi": "1295614642", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Xitumul", "first_name": "Leslie", "middle_name": "Arleen", "gender": "Female", "npi": "1225923733", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mendoza", "first_name": "Lisa", "gender": "Female", "npi": "1326921164", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "752923", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Peraza", "first_name": "Anthony", "gender": "Male", "npi": "1093428153", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dagdag", "first_name": "Victoria", "gender": "Female", "npi": "1912884164", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Asian/Pacific Islander", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "131692", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "101YM0800X", "site_taxonomy_description": "Counselor Mental Health", "address_line_1": "3055 WEST ORANGE AVE.", "address_line_2": "105", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychodynamic Therapy,Psychoeducational Groups,Socialization Groups,Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Stress Management,Structural Therapy,Case Management,Depressive Disorders,Family Therapy,Narrative Therapy,Suicide Assessment and Prevention,Older Adults,Recovery and Resilience Models,Schizophrenia Spectrum and Other Psychotic Disorders,Bipolar Disorders,Dialectical Behavior Therapy (DBT),Individual Therapy,Recovery Based Treatment Planning,Anxiety Disorders,Grief & Bereavement,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Group Therapy,Interpersonal Therapy,Mindfulness,Personality Disorders,Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Flores", "first_name": "Veronica", "gender": "Female", "npi": "1730949942", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "20154", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Haro", "first_name": "David", "middle_name": "Sebastian", "gender": "Female", "npi": "1033827936", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19431", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Weiss", "first_name": "Irene", "middle_name": "Iris", "gender": "Female", "npi": "1407734692", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "127516", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nunez", "first_name": "Ruby", "gender": "Female", "npi": "1003791476", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Paz", "first_name": "Andrea", "gender": "Female", "npi": "1376434118", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Coyazo", "first_name": "Maritza", "gender": "Female", "npi": "1952982423", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Verghese", "first_name": "Susan", "gender": "Female", "npi": "1205218260", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "1208", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Oki", "first_name": "Tamara", "gender": "Female", "npi": "1457233900", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guerra", "first_name": "Mayra", "middle_name": "Alejandra", "gender": "Female", "npi": "1932622347", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "128702", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Mayorga", "first_name": "Cynthia", "gender": "Female", "npi": "1316501950", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Publico", "first_name": "Chelsea", "gender": "Female", "npi": "1194616193", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Isaiah", "middle_name": "James", "gender": "Male", "npi": "1174298681", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135371", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Melendez", "first_name": "Sydney", "middle_name": "Taylor", "gender": "Female", "npi": "1053894683", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "140736", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hoover-Castorena", "first_name": "Sarah", "middle_name": "Danielle", "gender": "Female", "npi": "1053030601", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "125458", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aguirre", "first_name": "David", "gender": "Male", "npi": "1427603620", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "130474", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Collaborative Court Central", "entity": "00030", "npi2": "1164061180", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714)834-3132", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Intensive Recovery oriented services are available to adults, ages 18 and up, who have a serious and persistent mental illness and may have co-occurring substance abuse issues. Impairment in their ability to function in the community is significant and they have not been able to achieve stability in treatment at a traditional outpatient mental health clinic. In addition, these individuals have had involvement with the criminal justice system due to their mental illness. Referrals come from the Community Courts of Orange County and are screened for medical necessity criteria. In addition, clients are participating in a Mental Health Collaborative Court. Staff coordinate with collaborative partners of Orange County Community Courts as well as contracted service providers to facilitate treatment and address client needs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia Rios", "first_name": "Jessica", "middle_name": "Veronica", "gender": "Female", "npi": "1134097983", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chermont", "first_name": "Anna", "middle_name": "Carolina", "gender": "Female", "npi": "1780265199", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Nataly", "middle_name": "Mendez", "gender": "Female", "npi": "1750131892", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Velazquez", "first_name": "Edgar", "middle_name": "Ricardo", "gender": "Male", "npi": "1669196184", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "144175", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Jessica", "gender": "Female", "npi": "1295291086", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "142287", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "PEI OC Center for Resiliency, Education and Wellness", "entity": "00030", "npi2": "1477193910", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 403", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 480-5100", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) county clinic provides outpatient services for 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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Le-Bui", "first_name": "Kelvin", "gender": "Male", "npi": "1588260350", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "714-620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a member's access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "Adults", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OK AB109 FSP", "entity": "00975", "npi2": "1841335692", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "631 S BROOKHURST ST", "address_line_2": "104", "city": "ANAHEIM", "state": "CA", "zip_code": "92804-3510", "phone": "(714) 620-8131", "webSite": "http://www.pathwaysofcalifornia.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Clarvida Opportunity Knocks program provides client-centered and recovery-oriented behavioral health services that focus on a partnership with our members where basic daily needs including housing, and housing access and sustainability are paramount to our care. Upon enrollment, Opportunity Knocks treatment team staff assess a members access to housing and risk of housing instability. At onset, the Opportunity Knocks team, including the specialized Housing Coordinator work to implement strategies to prevent housing instability and homelessness. \u00A0Throughout treatment, our team outreaches to housing vendors to collaborate on best ways to support members to continue to stay housed and provides individualized care to reduce returns to institutional settings. We provide flexibility and efforts to meet members where they are to reduce barriers to engagement. We utilize consistent outreach attempts on a weekly basis to our members to increase support and promote progress in their recovery.\u00A0\u00A0We link and coordinate with local emergency shelters and navigation centers to facilitate shelter for our members and work with shelter staff to assist with permanent and other supportive housing opportunities.\u00A0\u00A0Our program has collaborative relationships with various affordable housing vendors in our community. We have a wide range of options depending on the individual needs of the member we serve. These housing options encourage our mental health services along with providing a foundation for improved quality of life for our members." }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Brittney", "middle_name": "Amanda", "gender": "Female", "npi": "1679304273", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123754", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Case Management,Depressive Disorders,Individual Therapy" } ] }, { "last_name": "Pineda Pineda", "first_name": "Ivonne", "gender": "Female", "npi": "1760267496", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "125202", "license_type": "Associate Clinical Social Worker", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,LGBTQ+,Individual Therapy,Mood Disorders" } ] }, { "last_name": "Shahram", "first_name": "Shabnam", "gender": "Female", "npi": "1790299469", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123679", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Family Therapy,Individual Therapy" } ] }, { "last_name": "Carrera", "first_name": "Grecia", "middle_name": "Mikela", "gender": "Female", "npi": "1164398095", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Natalia", "middle_name": "Villa", "gender": "Female", "npi": "1437022480", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156608", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "" } ] }, { "last_name": "Moreno Ortiz", "first_name": "Amalia", "gender": "Female", "npi": "1134264104", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Adults,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,HIV/AIDS,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Multicultural,Multiracial,Native American,Older Adults,Pacific Asian,Perinatal,Physically Disabled,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Veterans,Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "153273", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CCPU (Continuing Care Placement Unit)", "entity": "00030", "npi2": "1770620635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X,251B00000X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health,Case Management", "address_line_1": "800 N. ECKHOFF ST.", "address_line_2": "4TH FLOOR", "city": "ORANGE", "state": "CA", "zip_code": "92868-1008", "phone": "(714) 704-8818", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth Services (CYS) CCPU is a collaboration between HCA CYS and SSA. Designed to address the problems of seriously emotionally disturbed youth who are dependents of the juvenile court. CCPU provides a broad range of field-based services for behaviorally, emotionally or mentally disordered children/youth, which include mental health consultation to SSA social workers, children’s caregivers, linkage to mental health and other services in the community and assistance in coordinating all aspects of child’s plan of care. Additional services include evaluation, therapy, crisis intervention, and collateral services to parents and families through TFCO/MTIP program. SSA also refers children/youth who are moving towards adoption, and a pre-adoption evaluation is completed to disclose any potential mental health concerns. SSA and Probation refer cases to CCPU for a Qualified Individual Assessment to determine the most effective and appropriate level of interventions in a family-based setting or determination of STRTP placement." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Partum Depression (PPD),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Autism Spectrum Disorders,Co-Occurring Disorders,Psychoeducational Groups,Socialization Groups,Couple's Therapy,Solution Focused Therapy,CPR/First Aid Certified,Strengths-Based Care,Crisis Intervention Services,Stress Management,Structural Therapy,Substance Use Disorder (SUD) Services and Education,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Depressive Disorders,Eating Disorders,Family Therapy,Immigration Populations,Managing and Adapting Practice (MAP),Narrative Therapy,Obsessive Compulsive Disorders and Related Disorders,Rape,Sand Tray and Art Therapy,Veteran's/ Military Lifestyle Issues,Suicide Assessment and Prevention,Supporting Survivors,Addiction,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Marital Counseling,Older Adults,Parent-Child Interaction Therapy (PCIT),Schizophrenia Spectrum and Other Psychotic Disorders,Therapeutic Behavioral Services (TBS),Women's Issues,Adolescent,Child and Family Meeting (CFT),Foster Care,Homeless Outreach,Individual Therapy,Parenting Skills,School Based,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Adoption,Gestalt Therapy,Human Trafficking,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,Domestic Violence Treatment,Grief & Bereavement,Trauma and Stress Related Disorders,Children,Group Therapy,Mindfulness,Personality Disorders,Separation/Divorce,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Person-Centered Therapy,Trauma Informed Care,Phobias,Truancy,Codependency,Motivational Interviewing (MI),Sex Offenders" } ] }, { "last_name": "Tamara", "first_name": "Brenda", "middle_name": "Maria", "gender": "Female", "npi": "1184505174", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Camino Nuevo", "entity": "00975", "npi2": "1235274804", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2001 EAST FOURTH ST.", "address_line_2": "200 & 205", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3916", "phone": "(714)824-8144", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Rachel", "gender": "Female", "npi": "1912552431", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rogers-Calva", "first_name": "Brianna", "middle_name": "Belle", "gender": "Female", "npi": "1093696726", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132482", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Leim", "first_name": "James", "middle_name": "Jefryson Aurelio", "gender": "Male", "npi": "1235010356", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "157587", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Henderson", "first_name": "Sawyer", "middle_name": "Ann", "gender": "Female", "npi": "1417520982", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156541", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kim", "first_name": "Brian", "gender": "Male", "npi": "1124999404", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "19609", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lee", "first_name": "Yearim", "gender": "Female", "npi": "1558234997", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2021-07-01", "contract_expiration_date": "2026-06-30", "license_number": "155985", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS KCS FSP Project Focus", "entity": "01506", "npi2": "1730323585", "medical_certificate_effective_date": "2021-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "13091 GALWAY ST", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92844-1633", "phone": "714-539-4544", "webSite": "https://www.koreancommunity.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OCAPICA provides individually tailored and comprehensive behavioral health services, which include community outreach, wellness and prevention workshops, mental health screenings, education, short-term individual, group, and family counseling, peer support services, referrals, case management, and supportive services.\u00A0With over 20 years of experience in behavioral health, OCAPICA has been a trusted provider of comprehensive, responsive, and accessible services to diverse communities across Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Polehonkyi", "first_name": "Yaroslav", "gender": "Male", "npi": "1619655701", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A203745", "license_type": "Psychologist - PHD-Level", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Avila", "first_name": "Joseph", "middle_name": "De Jesus", "gender": "Male", "npi": "1003784703", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cruz", "first_name": "Maya", "middle_name": "Gizela", "gender": "Female", "npi": "1609755446", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lively", "first_name": "Kelliann", "gender": "Female", "npi": "1285102855", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Poulakos", "first_name": "Anthoula", "gender": "Female", "npi": "1831976380", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS East Region", "entity": "00030", "npi2": "1457498941", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "500 CITY PKWY. W.", "address_line_2": "STE. 200", "city": "ORANGE", "state": "CA", "zip_code": "92868-2941", "phone": "(714) 480-6600", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castillo", "first_name": "Jeremiah", "gender": "Male", "npi": "1538668868", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Park", "first_name": "Jihyeon", "gender": "Female", "npi": "1407737919", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSYMWICX", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lilly", "first_name": "Silvia", "middle_name": "Isabel", "gender": "Female", "npi": "1952284606", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSCBIONQ", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Phan", "first_name": "Anh", "middle_name": "Minh", "gender": "Female", "npi": "1164253357", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Ruby", "gender": "Female", "npi": "1760362362", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "132624", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Minor", "first_name": "Rudyne", "middle_name": "Louise", "gender": "Female", "npi": "1568003515", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSHJWMOC", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS OAS MH Recovery", "entity": "00030", "npi2": "1780721639", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251B00000X", "site_taxonomy_description": "Case Management", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "STE. 120", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "OAS Recovery Program Provides mental health services for older adults who have mental illness and functional impairments. Services are provided in the clinic and in the field. Services include psychiatriatry, nursing assessment, individual therapy, case manament, crisis intervention, group therapy, and peer counseling." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Betancourt", "first_name": "Jose", "gender": "Male", "npi": "1164398400", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "600 W SANTA ANA BLVD", "address_line_2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sun", "first_name": "Carol", "middle_name": "Lucia", "gender": "Female", "npi": "1841170446", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "132625", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Aghajani", "first_name": "Leea", "gender": "Female", "npi": "1275101800", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95027394", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Byrne", "first_name": "John", "middle_name": "David", "gender": "Male", "npi": "1225335813", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chong", "first_name": "Roy", "gender": "Female", "npi": "1386330389", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95030711", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Johnston", "first_name": "William", "middle_name": "Franklin", "gender": "Male", "npi": "1699648972", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Colocho", "first_name": "Kelly", "middle_name": "Linnette", "gender": "Female", "npi": "1154073674", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "115486", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "115486", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CAT", "entity": "00030", "npi2": "1124405659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "4000 W. METROPOLITAN DR.", "address_line_2": "# 401", "city": "ORANGE", "state": "CA", "zip_code": "92868-3504", "phone": "714-834-5610", "webSite": "https://www.ochealthinfo.com/bhs/about/cys/crisis_services", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Herrera", "first_name": "Erika", "middle_name": "Liset", "gender": "Female", "npi": "1629706619", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "132410", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC South", "entity": "00115", "npi2": "1376034371", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "22942 EL TORO RD.", "city": "LAKE FOREST", "state": "CA", "zip_code": "92630-4961", "phone": "(949) 317-1010", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lynch", "first_name": "Nicole", "middle_name": "Anna-Marie", "gender": "Female", "npi": "1649870395", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Asian/Pacific Islander,Bicultural/Multicultural issues,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Law Enforcement,LGBTQ+,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "141462", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Psychodynamic Therapy,Autism Spectrum Disorders,Co-Occurring Disorders,Psychoeducational Groups,Couple's Therapy,Solution Focused Therapy,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Depressive Disorders,Family Therapy,Immigration Populations,Juvenile Justice,Suicide Assessment and Prevention,Home Visits,Impulse-Control Disorders,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Individual Therapy,Vocational/Educational Support,Child Development,Transitional Age Youth (TAY),Anxiety Disorders,LPS 5150/5585 Designated Staff,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Personality Disorders,Separation/Divorce,Anger Management,Mood Disorders,Person-Centered Therapy" } ] }, { "last_name": "Lam", "first_name": "Khoi", "middle_name": "", "gender": "Male", "npi": "1215819826", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "French", "fluency": "Fluent" }, { "language": "Japanese", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95036170", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Adolescent,Anxiety Disorders,Mood Disorders" } ] }, { "last_name": "Hernandez", "first_name": "Ulysses", "gender": "Male", "npi": "1598314080", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156729", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Costa Mesa", "entity": "00801", "npi2": "1477324960", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "940 S. COAST DR.", "address_line_2": "SUITE 260", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-7843", "phone": "714-767-3229", "webSite": "https://www.clarvida.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy,Anxiety Disorders,Children" } ] }, { "last_name": "Mares", "first_name": "Evelyn", "middle_name": "", "gender": "Female", "npi": "1356230072", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "153996", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,Individual Therapy" } ] }, { "last_name": "Berdin", "first_name": "Alic", "middle_name": "", "gender": "Male", "npi": "1669991501", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Sandra", "middle_name": "Hormisdas", "gender": "Female", "npi": "1033900345", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Ordaz", "first_name": "Amanda", "middle_name": "Rain", "gender": "Female", "npi": "1689266652", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "150908", "license_type": "Associate Marriage Family Therapist", "service_type": "Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Case Management,Adolescent,Individual Therapy,Children" } ] }, { "last_name": "Cruz-Bahena", "first_name": "Kimberly", "gender": "Female", "npi": "1295400216", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "149721", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Adolescent,Individual Therapy,Anxiety Disorders,Children" } ] }, { "last_name": "SANCHEZ", "first_name": "Victoria", "middle_name": "Nicole", "gender": "Female", "npi": "1306527643", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "148494", "license_type": "Associate Marriage Family Therapist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Case Management,Adolescent,Individual Therapy,Anxiety Disorders" } ] }, { "last_name": "Kluwe", "first_name": "Maria", "middle_name": "Isabel", "gender": "Female", "npi": "1922414382", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "87760", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Case Management,Depressive Disorders,Family Therapy,Katie A. Services,LGBTQ+,Suicide Assessment and Prevention,Impulse-Control Disorders,Adolescent,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Foster Care,Individual Therapy,Anxiety Disorders,LPS 5150/5585 Designated Staff,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Group Therapy,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Baldwin", "first_name": "Jordan", "middle_name": "Taylor", "gender": "Female", "npi": "1689464216", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+,Adolescent" } ] }, { "last_name": "Guadarrama", "first_name": "Angelica", "middle_name": "Delfina", "gender": "Female", "npi": "1154140432", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,Family Systems,Foster Home Youth,Group Home Youth,Latino/Latina/LatinX,LGBTQ+,Multicultural,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Adults,Adults/Older Adults,Children/Youth,Transitional Aged Youth", "specialties": "Community Care Coordinator,Post Traumatic Stress Disorder (PTSD),Community Education and Outreach,Socialization Groups,CPR/First Aid Certified,Strengths-Based Care,Crisis Intervention Services,Stress Management,Substance Use Disorder (SUD) Services and Education,Behavioral Modification,Case Management,Depressive Disorders,Eating Disorders,Immigration Populations,LGBTQ+,Wellness Recovery Action Plan (WRAP),Suicide Assessment and Prevention,Supportive Employment,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Parenting Skills,School Based,Transgender, Gender Diverse, and Intersex (TGI),Vocational/Educational Support,Child Development,Low Income Populations,Transitional Age Youth (TAY),Anxiety Disorders,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Children,Personality Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Polanco", "first_name": "Dorian", "gender": "Male", "npi": "1588429856", "taxonomy": "225400000X;373H00000X", "taxonomy_description": "Rehabilitation Practitioner,Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Children/Youth", "specialties": "Music Therapy,Community Care Coordinator,Post Traumatic Stress Disorder (PTSD),Community Education and Outreach" } ] }, { "last_name": "Esquivel", "first_name": "Elizabeth", "gender": "Female", "npi": "1912628363", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth,Co-Occurring Disorders,Dual Diagnosis,European-American,Family Systems,Foster Home Youth,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Multicultural,Multilingual,Multiracial,Serious Emotional Disturbance (SED) of a Child,Teens,Transitional Aged Youth (TAY),Victims of Abuse,Vietnamese", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124359", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Assertive Community Treatment (ACT),Post Traumatic Stress Disorder (PTSD),Attention Deficit Hyperactivity Disorder (ADHD),Community Education and Outreach,Psychodynamic Therapy,Co-Occurring Disorders,Psychoeducational Groups,Socialization Groups,Solution Focused Therapy,Criminal Justice,Strengths-Based Care,Crisis Intervention Services,Stress Management,Abuse (Child/Elder/Physical/Sexual) Victims,Behavioral Modification,Case Management,Depressive Disorders,Family Therapy,LGBTQ+,Narrative Therapy,Obsessive Compulsive Disorders and Related Disorders,Rape,Wellness Recovery Action Plan (WRAP),Suicide Assessment and Prevention,Supportive Employment,Addiction,Bereavement,Gender Dysphoria,Home Visits,Impulse-Control Disorders,Linkage and Referrals,Recovery and Resilience Models,Adolescent,Bipolar Disorders,Child and Family Meeting (CFT),Dialectical Behavior Therapy (DBT),Foster Care,Individual Therapy,Functional Family Therapy,Human Trafficking,Low Income Populations,Seeking Safety,Transitional Age Youth (TAY),Anxiety Disorders,Grief & Bereavement,LPS 5150/5585 Designated Staff,Trauma and Stress Related Disorders,Children,Group Therapy,Mindfulness,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Anger Management,Mood Disorders,Person-Centered Therapy,Seriously Emotionally Disturbed (SED),Trauma Informed Care" } ] }, { "last_name": "Keuning", "first_name": "Kaitlyn", "gender": "Female", "npi": "1487514576", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Aging,Co-Occurring Disorders,Dual Diagnosis", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Contreras", "first_name": "Roberta", "gender": "Female", "npi": "1386520211", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Slater", "first_name": "Stuart", "middle_name": "Donald", "gender": "Male", "npi": "1851856751", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSS2OIVZ", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Fullerton", "entity": "00801", "npi2": "1881729911", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1501 E ORANGETHORPE AVE", "address_line_2": "STE 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-5205", "phone": "714-254-8473", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Home Visits,Adolescent,Play Therapy" } ] }, { "last_name": "Mejia", "first_name": "Hector", "gender": "Male", "npi": "1659236149", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Dual Diagnosis,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSBLQGXF", "license_type": "Peer Support Specialist", "service_type": "Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2100 N. BROADWAY", "address_line_2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." }, "population_served": "Adults", "specialties": "Socialization Groups,Strengths-Based Care,Stress Management" } ] }, { "last_name": "Hassan-Mohammed", "first_name": "Sadiya", "middle_name": "Ibrahim", "gender": "Female", "npi": "1659977114", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "133349", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Garden Grove", "entity": "00801", "npi2": "1467781013", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "12966 EUCLID ST.", "address_line_2": "200, 220, 280", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-5200", "phone": "(714) 823-4770", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "17", "program_description": "Children and Youth\u00A0 Services (CYS) clinic 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." }, "population_served": "Adolescents,Children/Youth", "specialties": "Attention Deficit Hyperactivity Disorder (ADHD),Depressive Disorders,LGBTQ+,Individual Therapy,Anxiety Disorders" } ] }, { "last_name": "Cabrera", "first_name": "Lavena", "gender": "Female", "npi": "1144933151", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lorenzo", "first_name": "Johnson", "gender": "Male", "npi": "1194265876", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Children and Adolescents,Children and Youth,Foster Home Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Strengths-Based Care,Juvenile Justice,Adolescent,Transitional Age Youth (TAY)" } ] }, { "last_name": "Lopez", "first_name": "Carlos", "gender": "Male", "npi": "1245063056", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth,Justice Involved", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Juvenile Justice,Adolescent,Child and Family Meeting (CFT),Foster Care,Low Income Populations,Transitional Age Youth (TAY)" } ] }, { "last_name": "Gomez Renteria", "first_name": "Ana", "middle_name": "", "gender": "Female", "npi": "1225312572", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Chicano American,Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Children/Youth,Transitional Aged Youth", "specialties": "Stress Management,Juvenile Justice,Foster Care,Parenting Skills" } ] }, { "last_name": "Pivaral", "first_name": "Michael", "middle_name": "Donald", "gender": "Male", "npi": "1679430219", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "133217", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center South", "entity": "00479", "npi2": "1821583337", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "3551 CAMINO MIRA COSTA", "address_line_2": "STE. T", "city": "SAN CLEMENTE", "state": "CA", "zip_code": "92672", "phone": "(949) 272-4444", "webSite": "http://cgcoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Casillas", "first_name": "Jasmine", "middle_name": "Vanessa", "gender": "Female", "npi": "1730755695", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Transitional Aged Youth", "specialties": "Psychoeducational Groups,Crisis Intervention Services,LGBTQ+" } ] }, { "last_name": "Sosa", "first_name": "Beatriz", "gender": "Female", "npi": "1952188724", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "756492", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Schizophrenia Spectrum and Other Psychotic Disorders" } ] }, { "last_name": "Kyelula", "first_name": "Aida", "middle_name": "Saidi", "gender": "Female", "npi": "1194566166", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95282186", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Mazur", "first_name": "Allison", "middle_name": "Marie", "gender": "Female", "npi": "1851267249", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95428535", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Medication Education and Support" } ] }, { "last_name": "Torres", "first_name": "Daisy", "gender": "Female", "npi": "1821477928", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Multicultural,Multilingual,Multiracial,Teens", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "Adolescents,Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Psychoeducational Groups,Strengths-Based Care,Crisis Intervention Services,Stress Management,Depressive Disorders,Katie A. Services,LGBTQ+,Impulse-Control Disorders,Adolescent,Foster Care,Rehab/Intensive Home Based Services,Trauma and Stress Related Disorders,Anger Management,Mood Disorders,Trauma Informed Care" } ] }, { "last_name": "Mason", "first_name": "Dania", "middle_name": "Lyneise", "gender": "Female", "npi": "1477165256", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "125771", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education, Management, and Support" } ] }, { "last_name": "Phillips", "first_name": "Darren", "gender": "Male", "npi": "1366303372", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "752530", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" }, { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "752530", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Davalos", "first_name": "Jessica", "middle_name": "Beatrice", "gender": "Female", "npi": "1689375222", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "756871", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Olano", "first_name": "Marvin", "middle_name": "Penales", "gender": "Male", "npi": "1194695437", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95269401", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Trejo", "first_name": "Melissa", "gender": "Female", "npi": "1861095481", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95189781", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Hochuli", "first_name": "Kaitlyn", "gender": "Female", "npi": "1750911251", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "119570", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Grepo", "first_name": "Mychal", "middle_name": "Earvin Portugal", "gender": "Male", "npi": "1548159064", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "9534204", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Anguiano", "first_name": "Rosa", "middle_name": "Ellen", "gender": "Female", "npi": "1255220463", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "130838", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "De La Cruz", "first_name": "Adrian", "gender": "Male", "npi": "1649908823", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Chicano American,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Pagkaliwangan", "first_name": "Sweet Jane", "middle_name": "D", "gender": "Female", "npi": "1235002015", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95310356", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Perez", "first_name": "Abigail", "gender": "Female", "npi": "1649939299", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Acevedo", "first_name": "Alejandro", "gender": "Male", "npi": "1245107150", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "German", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "ALCALA", "first_name": "Angel", "middle_name": "Everardo", "gender": "Male", "npi": "1497598015", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Fontaine", "first_name": "Cassidy", "middle_name": "Rae", "gender": "Female", "npi": "1235953571", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Cota", "first_name": "Christian", "gender": "Male", "npi": "1366335291", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Alcala", "first_name": "Cindy", "gender": "Female", "npi": "1477390755", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Kelly", "first_name": "Colin", "middle_name": "Edward", "gender": "Male", "npi": "1114897535", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Christensen", "first_name": "Cynthia", "middle_name": "Kaye", "gender": "Female", "npi": "1316791825", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Mond", "first_name": "Eduard", "middle_name": "Der", "gender": "Male", "npi": "1144961426", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Belding", "first_name": "Eugenia", "middle_name": "Elise", "gender": "Female", "npi": "1861356388", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Norris", "first_name": "Grace", "gender": "Female", "npi": "1053260455", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Braunhausen", "first_name": "Gunner", "middle_name": "Warren", "gender": "Male", "npi": "1447119995", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Morales", "first_name": "Hilda", "gender": "Female", "npi": "1801486394", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Morris", "first_name": "Hope", "middle_name": "Annette", "gender": "Female", "npi": "1003675968", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Gallardo", "first_name": "Ignacio", "gender": "Male", "npi": "1225610256", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Prado", "first_name": "Itzayana", "gender": "Female", "npi": "1043935745", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Laird", "first_name": "Jason", "middle_name": "Lamont", "gender": "Male", "npi": "1205680618", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Hall", "first_name": "Jessica", "middle_name": "Marlene", "gender": "Female", "npi": "1518828128", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Rivera", "first_name": "Jesus", "middle_name": "Arturo", "gender": "Male", "npi": "1558132431", "taxonomy": "363AM0700X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Huerta", "first_name": "Jon", "middle_name": "Michael", "gender": "Male", "npi": "1407663313", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Pacheco", "first_name": "Jorge", "gender": "Male", "npi": "1861235483", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Padilla", "first_name": "Jose", "middle_name": "Antonio", "gender": "Male", "npi": "1023895182", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Sales", "first_name": "Joshua", "middle_name": "Manigque", "gender": "Male", "npi": "1750072427", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Wong", "first_name": "Katherine", "middle_name": "Megan", "gender": "Female", "npi": "1720954019", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" }, { "language": "German", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Perea", "first_name": "Luis", "middle_name": "Tinajero", "gender": "Male", "npi": "1962238014", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "" } ] }, { "last_name": "Gross", "first_name": "Marcus", "gender": "Male", "npi": "1063206324", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Manette", "first_name": "Marcus", "middle_name": "David", "gender": "Male", "npi": "1558193904", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Oseguera", "first_name": "Maria", "middle_name": "Isabel", "gender": "Female", "npi": "1407717168", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Mageno", "first_name": "Marilyn", "middle_name": "Ines", "gender": "Female", "npi": "1295600641", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Manio", "first_name": "Michael", "middle_name": "Maranan", "gender": "Male", "npi": "1447916630", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Gobert", "first_name": "Mykelle", "gender": "Female", "npi": "1750069597", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Santos", "first_name": "Olivia", "gender": "Female", "npi": "1902774300", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Gamboa", "first_name": "Richard", "gender": "Male", "npi": "1417524851", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Mora", "first_name": "Ronnie", "middle_name": "Rene", "gender": "Male", "npi": "1700580149", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Mora", "first_name": "Ronnie", "middle_name": "Rene", "suffix": "Jr", "gender": "Male", "npi": "1235025255", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Lomeli", "first_name": "Sonia", "gender": "Female", "npi": "1336856574", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Spidle", "first_name": "Stephanie", "middle_name": "Daniella", "gender": "Female", "npi": "1255208161", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Orona", "first_name": "Valarie", "middle_name": "Bernice", "gender": "Female", "npi": "1477241644", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Ledesma", "first_name": "Vanessa", "gender": "Female", "npi": "1316427594", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Esparza", "first_name": "Veronica", "gender": "Female", "npi": "1336956234", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Cordova", "first_name": "Adriana", "middle_name": "Villalobos", "gender": "Female", "npi": "1366156697", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Sisco", "first_name": "Alicia", "middle_name": "Deborah", "gender": "Female", "npi": "1336005578", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "292860", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Pili", "first_name": "Anesati", "middle_name": "Albert", "gender": "Male", "npi": "1003520339", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Enninful", "first_name": "Arabah", "middle_name": "Abakah K", "gender": "Female", "npi": "1295452928", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "41401", "license_type": "Licensed Psychiatrists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Fendt", "first_name": "Brady", "middle_name": "Christopher", "gender": "Male", "npi": "1245197433", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Russian", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Mushrush- Terry", "first_name": "Cailtin", "gender": "Female", "npi": "1659155638", "taxonomy": "225X00000X", "taxonomy_description": "Occupational Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "25465", "license_type": "Occupational Therapists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Beckton", "first_name": "Carmenita", "middle_name": "Charlene", "gender": "Female", "npi": "1154071165", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Ramirez", "first_name": "Doraluz", "gender": "Female", "npi": "1689486995", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "250273", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Onuohah", "first_name": "Doris", "middle_name": "Ego", "gender": "Female", "npi": "1578765137", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95003988", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Walker", "first_name": "Dolores", "middle_name": "Ann", "gender": "Female", "npi": "1881565083", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Pacheco", "first_name": "Erick", "middle_name": "Alexis", "gender": "Male", "npi": "1003605478", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "42976", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Nava", "first_name": "Felix", "middle_name": "Jr.", "gender": "Male", "npi": "1356986483", "taxonomy": "106S00000X", "taxonomy_description": "Behavior Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Gutierrez", "first_name": "Janet", "gender": "Female", "npi": "1053900704", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Lorenzo", "first_name": "Janna", "middle_name": "Ariane", "gender": "Female", "npi": "1639802333", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Galdamez", "first_name": "Jennifer", "middle_name": "Margarita", "gender": "Female", "npi": "1750090700", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "692166", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Saidor", "first_name": "Jill", "middle_name": "Subido", "gender": "Female", "npi": "1366884058", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "36818", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Ryan", "first_name": "Kelly", "middle_name": "Laura", "gender": "Female", "npi": "1609269851", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "37853", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Easterling", "first_name": "Leslie", "gender": "Female", "npi": "1841868643", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "132102", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Bailey", "first_name": "Lillian", "gender": "Female", "npi": "1730671983", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "248989", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Bates", "first_name": "Lindzie", "middle_name": "Imani", "gender": "Female", "npi": "1053070391", "taxonomy": "163WP0808X", "taxonomy_description": "Registered Nurse Psych/Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "95172435", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults,Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Mendoza", "first_name": "Macie", "middle_name": "Miranda Corinne", "gender": "Female", "npi": "1134982630", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Mendoza", "first_name": "Melissa", "middle_name": "Tracey", "gender": "Female", "npi": "1386511277", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "705255", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Ramos", "first_name": "Michelle", "gender": "Female", "npi": "1063005445", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Marquez", "first_name": "Oscar", "gender": "Male", "npi": "1477317634", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Finn", "first_name": "Richard", "gender": "Male", "npi": "1265227110", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Sequeira", "first_name": "Ricky", "middle_name": "Encarnacion", "gender": "Male", "npi": "1073354536", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Sarmiento", "first_name": "Roberto", "middle_name": "Gumabon", "gender": "Male", "npi": "1952115016", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "253285", "license_type": "Licensed Vocational Nurses", "service_type": "Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support" } ] }, { "last_name": "Zapanta", "first_name": "Shannen", "middle_name": "Pampolino", "gender": "Female", "npi": "1588477061", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "42317", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Alcantara", "first_name": "Tristan", "middle_name": "Nyl Jeremiah", "gender": "Male", "npi": "1851194757", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Tagalog", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "42307", "license_type": "Psychiatric Technicians", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "Smith", "first_name": "Tylour", "middle_name": "Beret", "gender": "Female", "npi": "1316725724", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "719218", "license_type": "Licensed Vocational Nurses", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Oropeza", "first_name": "Vanessa", "middle_name": "Rose", "gender": "Female", "npi": "1679287908", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Martinez", "first_name": "Dante", "gender": "Male", "npi": "1578295770", "taxonomy": "106S00000X", "taxonomy_description": "Behavior Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Harris", "first_name": "Rodney", "middle_name": "Alexander", "gender": "Male", "npi": "1427624790", "taxonomy": "225XM0800X", "taxonomy_description": "Occupational Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "2624", "license_type": "Occupational Therapists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Leu", "first_name": "Ingrid", "gender": "Female", "npi": "1215219332", "taxonomy": "225XM0800X", "taxonomy_description": "Occupational Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "13813", "license_type": "Occupational Therapists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Cortez", "first_name": "Jeri", "middle_name": "Ernestine", "gender": "Female", "npi": "1982563060", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Thordarson", "first_name": "Micaela", "gender": "Female", "npi": "1366811101", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "29572", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mostofi", "first_name": "Shirin", "gender": "Female", "npi": "1396264941", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Youth", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "33247", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Rowen", "first_name": "Kevin", "gender": "Male", "npi": "1275202558", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "33736", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ryan", "first_name": "Scott", "middle_name": "Laurence", "gender": "Male", "npi": "1013266451", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "51799", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mu", "first_name": "Elizabeth", "middle_name": "Janice Weiwen", "gender": "Female", "npi": "1295387728", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "139421", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Allen", "first_name": "Barbara", "gender": "Female", "npi": "1215025325", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "44080", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Brown", "first_name": "Danielle", "middle_name": "Nicole", "gender": "Female", "npi": "1831640572", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "114975", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Favila-De La Trinidad", "first_name": "Iliana", "gender": "Female", "npi": "1811567258", "taxonomy": "103TC0700X", "taxonomy_description": "Psychologist Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "36057", "license_type": "Psychologist - PHD-Level", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Brucks", "first_name": "Caitlyn", "gender": "Female", "npi": "1700761855", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Du", "first_name": "Na", "gender": "Female", "npi": "1760229736", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Preston", "first_name": "Amanda", "gender": "Female", "npi": "1285145557", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marantz", "first_name": "Alek", "middle_name": "Irving", "gender": "Female", "npi": "1356939086", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sullivan", "first_name": "Troy", "gender": "Male", "npi": "1922796267", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Van Aken", "first_name": "Anneka", "middle_name": "Claris", "gender": "Female", "npi": "1881325090", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schieffelin", "first_name": "Annette", "middle_name": "Jay", "gender": "Female", "npi": "1538991385", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-11-15", "contract_expiration_date": "2028-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Rady Children's Day Treatment Intensive Program", "entity": "01965", "npi2": "1912875709", "medical_certificate_effective_date": "2025-11-15", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W LA VETA", "address_line_2": "STE 400", "city": "IRVINE", "state": "CA", "zip_code": "92868", "phone": "714-509-8259", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Randol", "first_name": "Elana", "middle_name": "E", "gender": "Female", "npi": "1245331446", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW68910", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Assertive Community Treatment (ACT),Co-Occurring Disorders,Solution Focused Therapy,Strengths-Based Care,Crisis Intervention Services,Depressive Disorders" } ] }, { "last_name": "Burton", "first_name": "Lisa", "middle_name": "Cassidy Joy", "gender": "Female", "npi": "1982484358", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW130983", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Galan", "first_name": "Ariel", "middle_name": "Caterina", "gender": "Female", "npi": "1467096578", "taxonomy": "106S00000X", "taxonomy_description": "Behavior Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Tang", "first_name": "Briteny", "gender": "Female", "npi": "1326997446", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Trevino", "first_name": "Brittany", "gender": "Female", "npi": "1093664039", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Choi", "first_name": "Cassidi", "gender": "Female", "npi": "1336015684", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Henriquez", "first_name": "James", "middle_name": "Anthony", "gender": "Male", "npi": "1215792866", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Scott", "first_name": "Jansey", "middle_name": "Renee", "gender": "Female", "npi": "1053291328", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Tran", "first_name": "Karen", "gender": "Female", "npi": "1538021001", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "Adults/Older Adults", "specialties": "Educational Related Mental Health Services" } ] }, { "last_name": "Dang", "first_name": "Thuy-Linh", "middle_name": "Cao", "gender": "Female", "npi": "1508243213", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "105165", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reed", "first_name": "Howard", "middle_name": "Brent", "gender": "Male", "npi": "1174164172", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ratkay", "first_name": "Joan", "middle_name": "Bonguit", "gender": "Female", "npi": "1811875834", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "42884", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Coastal Star Crisis Residential", "entity": "00543", "npi2": "1215551890", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "320800000X", "site_taxonomy_description": "Community Based Residential Treatment Facility, Mental Illness", "address_line_1": "401 S. TUSTIN ST.", "address_line_2": "D", "city": "ORANGE", "state": "CA", "zip_code": "92866-2550", "phone": "714 289-3936", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ninmol", "first_name": "Jesse", "gender": "Male", "npi": "1093493322", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A203738", "license_type": "Licensed Psychiatrists", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ezeaka", "first_name": "Charles", "middle_name": "Nnamdi", "gender": "Male", "npi": "1720766900", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A203294", "license_type": "Licensed Psychiatrists", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Stephania", "middle_name": "Vargas", "gender": "Female", "npi": "1609745025", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "750686", "license_type": "Licensed Vocational Nurses", "service_type": "Intensive Care Coordination,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Heron", "first_name": "Jessica", "gender": "Female", "npi": "1720345218", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS TAO Central FSP", "entity": "00108", "npi2": "1346737590", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 101", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(714) 296-1934", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "17" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gilliam", "first_name": "Thomas", "gender": "Male", "npi": "1235789355", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Febrin", "first_name": "Surriannah", "middle_name": "Astrid", "gender": "Female", "npi": "1184381980", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "41411", "license_type": "Psychiatric Technicians", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Coastal Star Crisis Residential", "entity": "00543", "npi2": "1215551890", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "320800000X", "site_taxonomy_description": "Community Based Residential Treatment Facility, Mental Illness", "address_line_1": "401 S. TUSTIN ST.", "address_line_2": "D", "city": "ORANGE", "state": "CA", "zip_code": "92866-2550", "phone": "714 289-3936", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Portillo", "first_name": "Adela", "gender": "Female", "npi": "1003774886", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marroquin", "first_name": "Natalie", "gender": "Female", "npi": "1386514438", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "134381", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Darnall", "first_name": "Andy", "gender": "Male", "npi": "1124994314", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSPCHUZV", "license_type": "Peer Support Specialist", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nishimoto", "first_name": "Jeremy", "gender": "Male", "npi": "1740527274", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Jacklyn", "gender": "Female", "npi": "1467315051", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Khanna", "first_name": "Priyana", "gender": "Female", "npi": "1316813678", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSNQKPZE", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Treehouse Crisis Residential South", "entity": "00108", "npi2": "1942737648", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "323P00000X", "site_taxonomy_description": "Psychiatric Residential Treatment Facility", "address_line_1": "25402 PACIFICA AVE.", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-3854", "phone": "(949) 238-2400", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "At Telecare TREEhouse South, we provide a variety of support services in a homelike environment that assist you in recovering and managing your specific needs. We believe recovery starts from within, and that our job is to do whatever it takes to provide the support needed on your recovery journey. Our voluntary, 6-bed facility includes peer counselors, paraprofessional staff, and licensed professionals who provide services in a culturally sensitive manner." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hinojosa", "first_name": "Ernesto", "middle_name": "Jonas", "gender": "Male", "npi": "1790534170", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC OP", "entity": "00115", "npi2": "1801174719", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1801 PARK COURT PLACE", "address_line_2": "BLDG. H", "city": "SANTA ANA", "state": "CA", "zip_code": "92701", "phone": "(714) 957-1004", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Smith", "first_name": "Janesa", "gender": "Female", "npi": "1396636130", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Seneca OC North", "entity": "00115", "npi2": "1275803603", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "233 S. QUINTANA DR.", "city": "ANAHEIM", "state": "CA", "zip_code": "92807-4029", "phone": "(714) 202-2106", "webSite": "http://www.senecafoa.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Children and Youth\u00A0 Services (CYS) county 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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mitchell", "first_name": "Crystal", "middle_name": "Truth", "gender": "Female", "npi": "1043701808", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida OASIS FSP", "entity": "00975", "npi2": "1396870549", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1855 W KATELLA AVE.", "address_line_2": "150", "city": "ORANGE", "state": "CA", "zip_code": "92867-3432", "phone": "(714) 399-3480", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Serve older adult population 60 years and above. Oupatient services for severe and prsistent mentla illness. Crisis intervention, collateral services, Intense case management services," }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bae", "first_name": "Hyojin", "gender": "Female", "npi": "1013887249", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Simmons", "first_name": "Charon", "gender": "Male", "npi": "1942170162", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "275 EAST BAKER STREET", "address_line_2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bunta", "first_name": "Ana", "gender": "Female", "npi": "1003703265", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Altneu", "first_name": "Madison", "gender": "Female", "npi": "1619457090", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Loren", "first_name": "Dionna", "middle_name": "Scott", "gender": "Female", "npi": "1487217386", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "134333", "license_type": "Associate Clinical Social Worker", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez", "first_name": "Lissette", "middle_name": "Rubio", "gender": "Female", "npi": "1609299585", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136729", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Tustin", "entity": "00801", "npi2": "1396436077", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "17862 EAST 17TH STREET", "address_line_2": "EAST BUILDING SUITE 107", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2156", "phone": "714-767-3229", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Najera", "first_name": "Ami", "middle_name": "Benlline", "gender": "Female", "npi": "1043074669", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "739152", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Coastal Star Crisis Residential", "entity": "00543", "npi2": "1215551890", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "320800000X", "site_taxonomy_description": "Community Based Residential Treatment Facility, Mental Illness", "address_line_1": "401 S. TUSTIN ST.", "address_line_2": "D", "city": "ORANGE", "state": "CA", "zip_code": "92866-2550", "phone": "714 289-3936", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tang", "first_name": "Jenny", "middle_name": "Ngoc", "gender": "Female", "npi": "1457538753", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "26206", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ridens", "first_name": "Jill", "middle_name": "Marie", "gender": "Female", "npi": "1508565110", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "NP95031456", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rocha Flores", "first_name": "Maritza", "gender": "Female", "npi": "1609731397", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "131700", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Adolescents,Children/Youth", "specialties": "Adolescent,Child and Family Meeting (CFT)" } ] }, { "last_name": "Anderson", "first_name": "Madison", "gender": "Female", "npi": "1689538217", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Case Management" } ] }, { "last_name": "DUNN", "first_name": "CHLOE", "middle_name": "RENAE", "gender": "Female", "npi": "1447115688", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "701 W KIMBERLY AVE", "address_line_2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zip_code": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "MENDOZA", "first_name": "ARGENIS", "middle_name": "ALBERTO", "gender": "Male", "npi": "1114639911", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services East Region", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "200 W. SANTA ANA BLVD.", "address_line_2": "STE. 801", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Metro East", "entity": "00480", "npi2": "1831972140", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "3631 S. HARBOR BLVD.", "address_line_2": "FL. 2", "city": "SANTA ANA", "state": "CA", "zip_code": "92704-6951", "phone": "(949) 855-1556", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for MediCal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilizes evidence-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo MHSA", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North MHSA", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "95026874", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West MHSA", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Lara", "first_name": "Paola", "gender": "Female", "npi": "1881252609", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sosa", "first_name": "Lucero", "gender": "Female", "npi": "1013888015", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131232", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Costa Mesa Region", "entity": "00030", "npi2": "1346387743", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "2801 BRISTOL ST.", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8408", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hwang", "first_name": "Chanelle", "gender": "Female", "npi": "1154283844", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare WIT FSP", "entity": "00108", "npi2": "1801159389", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1910 N. BUSH ST.", "address_line_2": "", "city": "SANTA ANA", "state": "CA", "zip_code": "92706-2816", "phone": "(714) 361-7950", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "elecare WIT (Whatever It Takes) is a Full Service Partnership (FSP) in Orange County, CA for persons diagnosed with serious mental illness who are referred by the Collaborative Court. This program offers members an opportunity to receive services in the community rather than in jail, and it provides the support to meet requirements set by the court. Treatment plans are developed with input from representatives of the Probation Department, the District Attorney’s office, the Public Defender’s office, and the court." }, "population_served": "", "specialties": "" } ] }, { "last_name": "De La Torre", "first_name": "Sophia", "gender": "Female", "npi": "1932088176", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_type": "Waivered Psychologist", "service_type": "Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Colocho", "first_name": "Krissy", "middle_name": "Nahomy", "gender": "Female", "npi": "1801313531", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "115484", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Huber", "first_name": "Nina", "gender": "Female", "npi": "1114765153", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Anaheim", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-5157", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dinh", "first_name": "Mai-Han", "gender": "Female", "npi": "1447601752", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "120315", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services Mission Viejo", "entity": "00480", "npi2": "1790817468", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "26137 LA PAZ RD.", "address_line_2": "STE. 230", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-5319", "phone": "(949) 595-8610", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services" }, "population_served": "Children/Youth", "specialties": "Children" } ] }, { "last_name": "Cornejo", "first_name": "Trisha Therese", "middle_name": "Billones", "gender": "Female", "npi": "1598513426", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Coastal Star Crisis Residential", "entity": "00543", "npi2": "1215551890", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "320800000X", "site_taxonomy_description": "Community Based Residential Treatment Facility, Mental Illness", "address_line_1": "401 S. TUSTIN ST.", "address_line_2": "D", "city": "ORANGE", "state": "CA", "zip_code": "92866-2550", "phone": "714 289-3936", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Taylor", "middle_name": "Huong", "gender": "Female", "npi": "1336806249", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "18175", "license_type": "Associate Professional Clinical Counselor", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vo", "first_name": "Diana", "middle_name": "Hoang", "gender": "Female", "npi": "1275836421", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "105248", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ugalde", "first_name": "Karina", "gender": "Female", "npi": "1053147165", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "1120 W. LA VETA AVE.", "address_line_2": "660 & 470", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 509-8210", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10", "program_description": "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." }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "" } ] }, { "last_name": "Kavanaugh", "first_name": "Anna", "middle_name": "Lauren", "gender": "Female", "npi": "1568963783", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "134592", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Erik", "middle_name": "Ricardo", "gender": "Male", "npi": "1740609353", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "128852", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Esparza", "first_name": "Cristian", "middle_name": "Daniel", "gender": "Male", "npi": "1205522570", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "134231", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services North", "entity": "00480", "npi2": "1770617987", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "222 S HARBOR BLVD.", "address_line_2": "STE. 650", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-3756", "phone": "(714) 871-5646", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Western Youth Services (WYS) provides individualized, solution-focused services for Medi-Cal eligible clients under 21 years old and collateral services with families and caregivers. WYS utilized evidenced-based practices to ensure that every client gets the best possible outcome. Services may include assessment/evaluation, therapy, case management, family services, crisis intervention, medication management and support, psychological testing, consultation with schools and other agencies, and referral/linkage to other support services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Alejandrina", "gender": "Female", "npi": "1518466341", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "133218", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Choe", "first_name": "Tavis", "gender": "Male", "npi": "1972383966", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Project SHINE-OC FSP", "entity": "01506", "npi2": "1033896444", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12966 EUCLID STREET", "address_line_2": "SUITE 495", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-9209", "phone": "(714)636-9095", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Profio", "first_name": "Jessica", "middle_name": "Bailey", "gender": "Female", "npi": "1588421747", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "145548", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mohammed", "first_name": "Yassir", "middle_name": "Ibrahim", "gender": "Male", "npi": "1457947608", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-08-01", "contract_expiration_date": "2026-06-30", "license_number": "117283", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CAC Didi Hirsch Suicide Support Services", "entity": "00183", "npi2": "1831408509", "medical_certificate_effective_date": "2025-08-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "2000 E 4TH ST", "address_line_2": "STE 201", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "714-547-0885", "webSite": "https://didihirsch.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "ADAMS", "first_name": "JESSICA", "middle_name": "CHRISTINE", "gender": "Female", "npi": "1114889250", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kaizer", "first_name": "Joseph", "middle_name": "Edward", "gender": "Male", "npi": "1932786902", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Children and Adolescents", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "A196550", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "Adults/Older Adults,Children/Youth,Older Adults", "specialties": "Educational Related Mental Health Services,Medication Education and Support,Medication Education, Management, and Support" } ] }, { "last_name": "ARAMBULA", "first_name": "MICHELLE", "gender": "Female", "npi": "1629921796", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Residential Program Be Well Orange", "entity": "00527", "npi2": "1376146050", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S. ANITA DR.", "address_line_2": "201", "city": "ORANGE", "state": "CA", "zip_code": "92868-3346", "phone": "714 410-3505", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our program provides short-term, voluntary mental health treatment in a safe and supportive, home-like setting. Designed as an alternative to inpatient hospitalization, the program serves adults experiencing a mental health crisis who would benefit from structured care in a community-based environment. Services include 24/7 support, medication management, individual and group counseling, and connections to ongoing community resources. The goal is to stabilize symptoms, promote recovery, and support a successful transition back into the community." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hikida", "first_name": "Patricia", "gender": "Female", "npi": "1932398864", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Bicultural/Multicultural issues,HIV/AIDS,Justice Involved,Latino/Latina/LatinX,Older Adults,Pacific Asian", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "42225", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults,Children/Youth", "specialties": "Depressive Disorders,Bipolar Disorders,Anxiety Disorders,Mood Disorders" } ] }, { "last_name": "Rodriguez", "first_name": "Denise", "middle_name": "Paola", "gender": "Female", "npi": "1508724253", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "732930", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Intensive Home Based Services,Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "12141 BROOKHURST ST.", "address_line_2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "Adults/Older Adults", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Gassis", "first_name": "Talon", "gender": "Male", "npi": "1275490245", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "737990", "license_type": "Licensed Vocational Nurses", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Coastal Star Crisis Residential", "entity": "00543", "npi2": "1215551890", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "320800000X", "site_taxonomy_description": "Community Based Residential Treatment Facility, Mental Illness", "address_line_1": "401 S. TUSTIN ST.", "address_line_2": "D", "city": "ORANGE", "state": "CA", "zip_code": "92866-2550", "phone": "714 289-3936", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Juarez", "first_name": "Lorena", "gender": "Female", "npi": "1881256758", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156806", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ortega", "first_name": "Marry", "middle_name": "Jacqueline", "gender": "Female", "npi": "1346753076", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "129712", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriquez", "first_name": "Rachel", "gender": "Female", "npi": "1831925056", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "125145", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Sanusi-Fike", "first_name": "Rakiatu", "middle_name": "Ebronkia", "gender": "Female", "npi": "1235094954", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "626522", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS PACT Fullerton", "entity": "00030", "npi2": "1316084031", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "401 E. IMPERIAL HWY.", "city": "FULLERTON", "state": "CA", "zip_code": "92835-1145", "phone": "(714) 447-7000", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Program For Assertive Community Treatment (PACT) provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered adults, which include evaluation, therapy, medication monitoring, crisis intervention, and linkage. Referral for hospitalization or residential treatment, coordination with private and public services and case management for those placed in hospitals or Crisis Residential placements" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Espinosa", "first_name": "Ryan", "gender": "Male", "npi": "1396627741", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703-2252", "phone": "(714) 245-0045", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pedroza", "first_name": "Adriana", "gender": "Female", "npi": "1467304915", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "159972", "license_type": "Associate Marriage Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center North", "entity": "00479", "npi2": "1003936311", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "680 LANGSDORF DR.", "address_line_2": "STE. 200", "city": "FULLERTON", "state": "CA", "zip_code": "92831-3702", "phone": "(714) 871-9264", "webSite": "https://www.childguidancecenteroc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perdomo", "first_name": "Monique", "gender": "Female", "npi": "1255055331", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida STAY Process FSP", "entity": "00801", "npi2": "1437294618", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1401 N TUSTIN AVE.", "address_line_2": "225", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 221-6400", "webSite": "https://www.pathwaysofcalifornia.com/orange-county.html", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Severe/Persistant Mental Illness; Medication Support; Targeted Case Management; Intesive Case Coordination; Intensive Home Based Services; Individual Therapy; Group Rehab/Therapy; Dialectical Behavior Therapy Motivational Interviewing; Cognitive Behavioral Therapy; Truama Focused Cognitive Behavioral Therapy; Substance Abuse Counseling; Seeking Safety;" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Juarez", "first_name": "Diana", "gender": "Female", "npi": "1902656051", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services West", "entity": "00480", "npi2": "1023142379", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "18350 MOUNT LANGLEY ST.", "address_line_2": "STE. 206, 215, 220, 200", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708-6900", "phone": "(714) 378-2620", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nwabueze", "first_name": "Leone", "middle_name": "Chidubem", "gender": "Female", "npi": "1598571796", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN95284142", "license_type": "Nurse - RN, LPN, NA", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "CPR/First Aid Certified,Strengths-Based Care,Recovery and Resilience Models,Medication Education and Support" } ] }, { "last_name": "Wright", "first_name": "Jesse", "gender": "Undisclosed", "npi": "1558072470", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSTWHQVL", "license_type": "Peer Support Specialist", "service_type": "Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "Adults/Older Adults", "specialties": "Community Education and Outreach,Strengths-Based Care,Case Management,Depressive Disorders,Severe and Persistent Mental Illness (SPMI)" } ] }, { "last_name": "Garcia", "first_name": "Lesley", "middle_name": "Diana", "gender": "Female", "npi": "1720712599", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "Wayne", "first_name": "Harper", "middle_name": "Jacquelyn", "gender": "Female", "npi": "1427880285", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents,Children and Youth,Family Systems,Teens,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "123243", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Child Guidance Center Buena Park", "entity": "00479", "npi2": "1740300128", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "6301 BEACH BLVD.", "address_line_2": "STE. 245", "city": "BUENA PARK", "state": "CA", "zip_code": "90621-2840", "phone": "(714) 736-0231", "webSite": "https://www.childguidancecenteroc.org/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "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." }, "population_served": "Children/Youth", "specialties": "Cognitive Behavioral Therapy (CBT),Children" } ] }, { "last_name": "HEREDIA", "first_name": "AIRAM", "middle_name": "SARAI", "gender": "Female", "npi": "1689427122", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Clarvida Project RENEW FSP", "entity": "00801", "npi2": "1306980974", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "1360 S ANAHEIM BLVD.", "address_line_2": "101", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-6205", "phone": "(714) 689-1380", "webSite": "https://www.pathwaysofcalifornia.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "Full Service Partnership (FSP) intensive level. Program works with severe mental illness. Program is field based.Program service children/adolescents ages from 0-17 years old. Severe and persistent mental illness, medication support, target case management, individual therapy, intensive home based services." }, "population_served": "Children/Youth", "specialties": "" } ] }, { "last_name": "URREA", "first_name": "ROBERT", "gender": "Male", "npi": "1922951631", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251V00000X,251S00000X", "site_taxonomy_description": "Voluntary or Charitable,Community/Behavioral Health", "address_line_1": "2130 E. 4TH ST.", "address_line_2": "200", "city": "SANTA ANA", "state": "CA", "zip_code": "92705", "phone": "(714) 543-5437", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chery", "first_name": "Marie", "gender": "Female", "npi": "1861170169", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A207018", "license_type": "Physician", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare AOT FSP", "entity": "00108", "npi2": "1245627199", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "615 W. CIVIC CENTER DR.", "address_line_2": "STE. 200", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4006", "phone": "(714) 795-3444", "webSite": "http://www.telecarecorp.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Referrals for AOT services go through Orange County AOT Assessment and Linkage Team at 855-422-1421. AOT has one track for individuals who have gone through the court process and one track for individuals who choose to enroll in services voluntarily. Members may also be enrolled in the voluntary track should their court order expire but they want to continue treatment in the program." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Esperanza", "first_name": "Lisseth", "gender": "Female", "npi": "1700731825", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Intensive Care Coordination,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Waymakers YOW Guidance Center", "entity": "00654", "npi2": "1699938902", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "16580 HARBOR BLVD", "address_line_2": "UNIT M", "city": "FOUNTAIN VALLEY", "state": "CA", "zip_code": "92708", "phone": "(714) 975-5201", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Full Service Partnership provides culturally competent in-home and community based services for youthful offenders ages 12-25 with juvenile probation history and struggling with mental illness. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cervas", "first_name": "Charles", "middle_name": "Magno", "gender": "Male", "npi": "1164375416", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Benz", "first_name": "Sarah", "middle_name": "Eileen", "gender": "Female", "npi": "1518810373", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "161256", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "Crisis Intervention,Intensive Care Coordination,Intensive Home Based Services,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "14632 YORBA ST.", "address_line_2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zip_code": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ta", "first_name": "Pauline", "middle_name": "Hong-Phuc", "gender": "Female", "npi": "1598563330", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,LGBTQ+,Teens,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "124882", "license_type": "Associate Clinical Social Worker", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "CYS Western Youth Services EAST MHSA", "entity": "00480", "npi2": "1679605489", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0855X", "site_taxonomy_description": "Clinic/Center Adolescent and Children Mental Health", "address_line_1": "1666 N MAIN ST.", "address_line_2": "STE. 350, 400", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-7417", "phone": "(714) 704-5900", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Children/Youth,Transitional Aged Youth", "specialties": "Abuse (Child/Elder/Physical/Sexual) Victims,Case Management,Depressive Disorders,Family Therapy,Adolescent,Individual Therapy,Anxiety Disorders,Children,Mood Disorders" } ] }, { "last_name": "Ung", "first_name": "Jonathan", "gender": "Male", "npi": "1487516696", "taxonomy": "225400000X", "taxonomy_description": "Rehabilitation Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Mental Health Rehabilitation Specialists", "service_type": "Crisis Intervention,Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Clarvida Anaheim Recovery Center", "entity": "00975", "npi2": "1043354624", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "511 N BROOKHURST ST.", "address_line_2": "200", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5229", "phone": "(714)780-0750", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "10" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mooshian", "first_name": "Carly", "middle_name": "Jean", "gender": "Female", "npi": "1699332064", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19135", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Valdez", "first_name": "Aleeza", "middle_name": "Mae", "gender": "Female", "npi": "1447132212", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-09-19", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Exodus Crisis Stabilization Unit Be Well Orange", "entity": "00527", "npi2": "1326641671", "medical_certificate_effective_date": "2024-09-19", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "265 S ANITA DR", "address_line_2": "102", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "714-410-3500", "webSite": "https://www.exodusrecovery.com/", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "26" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Leigh", "first_name": "Jessica", "gender": "Female", "npi": "1164100863", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Telecare Home First North FSP", "entity": "00108", "npi2": "1114610722", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "20 CENTERPOINTE DRIVE", "address_line_2": "130", "city": "LA PALMA", "state": "CA", "zip_code": "90623-2562", "phone": "657-325-8313", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dam", "first_name": "Viet", "gender": "Male", "npi": "1972175172", "taxonomy": "373H00000X", "taxonomy_description": "Day Training/Habilitation Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Crisis Intervention,Mental Health Services,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS CAT Orange", "entity": "00030", "npi2": "1013336684", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "4000 W METROPOLITAN DR", "address_line_2": "401", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(866) 830-6011", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "10", "program_description": "The Orange County Mobile Crisis Assessment Team (CAT) provides mobile crisis services, is a field based program that responds as a DYAD team to individuals of all ages experiencing mental health crisis. The CAT team also includes the Psychiatric Emergency Response Team (PERT), which consist of CAT staff that are stationed or ride along with assigned law enforcement officers to address behavioral health related calls in their assigned cities. The program operates 24 hours a day, 7 days a week, 365 days a year and can be accessed by calling the OC Links 24/7 Behavioral Health Line at 1-855-625-4657." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fields", "first_name": "Erika", "gender": "Female", "npi": "1508725615", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "Mental Health Services,Medication Support,Targeted Case Management", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "MHP", "site_name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0850X", "site_taxonomy_description": "Clinic/Center Adult Mental Health", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "400", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Scott", "first_name": "Courtney", "middle_name": "S", "gender": "Male", "npi": "1699906750", "taxonomy": "207RA0401X", "taxonomy_description": "Internal Medicine Addiction Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,Refugee,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A108390", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Genesis New Beginning", "entity": "SUD17", "npi2": "1215441852", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "17822 BEACH BLVD.", "address_line_2": "278", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-7180", "phone": "619-277-1240", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Each patient will receive care from a case manager, a licensed clinician, and a medical provider. Genesis New Beginning has created this model in order to see all our patients’ progress or excel in their treatment goals. We know that all our patients have their own treatment goals." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Case Management" } ] }, { "last_name": "Gibbons", "first_name": "Matthew", "middle_name": "Timothy", "gender": "Male", "npi": "1588928451", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,Refugee,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "27185", "license_type": "Psychologist - PHD-Level", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Genesis New Beginning", "entity": "SUD17", "npi2": "1215441852", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "17822 BEACH BLVD.", "address_line_2": "278", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-7180", "phone": "619-277-1240", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Each patient will receive care from a case manager, a licensed clinician, and a medical provider. Genesis New Beginning has created this model in order to see all our patients’ progress or excel in their treatment goals. We know that all our patients have their own treatment goals." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Case Management" } ] }, { "last_name": "Rodriguez", "first_name": "Manuel", "middle_name": "Enrique", "suffix": "Jr.", "gender": "Male", "npi": "1245945633", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,Refugee,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14664", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Genesis New Beginning", "entity": "SUD17", "npi2": "1215441852", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "17822 BEACH BLVD.", "address_line_2": "278", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-7180", "phone": "619-277-1240", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Each patient will receive care from a case manager, a licensed clinician, and a medical provider. Genesis New Beginning has created this model in order to see all our patients’ progress or excel in their treatment goals. We know that all our patients have their own treatment goals." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Case Management" } ] }, { "last_name": "Olivas", "first_name": "Pedro", "gender": "Male", "npi": "1538853551", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,Refugee,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18317", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Genesis New Beginning", "entity": "SUD17", "npi2": "1215441852", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "17822 BEACH BLVD.", "address_line_2": "278", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-7180", "phone": "619-277-1240", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Each patient will receive care from a case manager, a licensed clinician, and a medical provider. Genesis New Beginning has created this model in order to see all our patients’ progress or excel in their treatment goals. We know that all our patients have their own treatment goals." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Case Management" } ] }, { "last_name": "Woods", "first_name": "Celia", "middle_name": "Maria", "gender": "Undisclosed", "npi": "1407979891", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "G87778", "license_type": "Physician", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Adolescent Outpatient", "entity": "SUD04", "npi2": "1154081867", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "1901 E. 4TH ST.", "address_line_2": "STE. 350", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3908", "phone": "(714) 486-0940", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The Adolescent Outpatient and Intensive Outpatient Program in Los Angeles serves youth with less severe alcohol and other drug abuse issues, allowing them to live at home while undergoing treatment." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wickersham", "first_name": "Carolyn", "middle_name": "Payton", "gender": "Undisclosed", "npi": "1073936712", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95002682", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Adolescent Outpatient", "entity": "SUD04", "npi2": "1154081867", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "1901 E. 4TH ST.", "address_line_2": "STE. 350", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3908", "phone": "(714) 486-0940", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The Adolescent Outpatient and Intensive Outpatient Program in Los Angeles serves youth with less severe alcohol and other drug abuse issues, allowing them to live at home while undergoing treatment." }, "population_served": "Adolescents", "specialties": "Medication Education, Management, and Support" } ] }, { "last_name": "Brown", "first_name": "Tamara", "gender": "Female", "npi": "1295206365", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "20258", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Collins", "first_name": "Robert", "middle_name": "Eugene", "gender": "Male", "npi": "1295206241", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "156783", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Loggans", "first_name": "Marian", "gender": "Female", "npi": "1326790403", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "12692", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Min", "first_name": "Hee", "middle_name": "Chong", "gender": "Female", "npi": "1396216347", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Aii051200124", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Madison", "first_name": "Gilbert", "middle_name": "Diallo", "gender": "Male", "npi": "1003160912", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Latino/Latina/LatinX,Refugee,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Aii057060518", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Case Management" } ] }, { "last_name": "Perry", "first_name": "Ronald", "gender": "Male", "npi": "1497226773", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "6411", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Piazza", "first_name": "Duke", "gender": "Male", "npi": "1043082316", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "16904", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez", "first_name": "Antoinette", "gender": "Female", "npi": "1083230072", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "10835", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Valverde", "first_name": "Jeshua", "gender": "Male", "npi": "1568095842", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "10428", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ward", "first_name": "Deanna", "middle_name": "Marie", "gender": "Female", "npi": "1477299568", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "19009", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "O'Neil", "first_name": "John", "middle_name": "Christian", "gender": "Male", "npi": "1952573826", "taxonomy": "208D00000X", "taxonomy_description": "General Practice", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "A118663", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A118663", "license_type": "Physician", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A118663", "license_type": "Physician", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Smith", "first_name": "Taylor", "middle_name": "Jay", "gender": "Male", "npi": "1962956151", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "86598", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "86598", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "86598", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Glinski", "first_name": "Michelle", "middle_name": "Elaine", "gender": "Female", "npi": "1003323643", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "117468", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Costa Mesa", "entity": "00030", "npi2": "1356464051", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2801 BRISTOL STREET", "address_line_2": "SUITE 200", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8431", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Case Management,Cognitive Behavioral Therapy (CBT),Individual Therapy,Motivational Interviewing (MI)" } ] }, { "last_name": "Gomez", "first_name": "Jose", "middle_name": "Angel", "gender": "Male", "npi": "1912181876", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "159834", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Cognitive Behavioral Therapy (CBT),Couple's Therapy,Moral Reconation Therapy (MRT),Individual Therapy,Stress Management" } ] }, { "last_name": "Keith", "first_name": "Donald", "middle_name": "H", "gender": "Male", "npi": "1639422439", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii059800618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii059800618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii059800618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2035 E BALL RD.", "address_line_2": "SUITE 100A & 100P", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-4599", "phone": "(714) 517-6140", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii059800618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Costa Mesa", "entity": "00030", "npi2": "1356464051", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2801 BRISTOL STREET", "address_line_2": "SUITE 200", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8431", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii059800618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" } ] }, { "last_name": "Omlin", "first_name": "Shirley", "middle_name": "Theodora", "gender": "Female", "npi": "1174063762", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6066", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6066", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2035 E BALL RD.", "address_line_2": "SUITE 100A & 100P", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-4599", "phone": "(714) 517-6140", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6066", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Costa Mesa", "entity": "00030", "npi2": "1356464051", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2801 BRISTOL STREET", "address_line_2": "SUITE 200", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8431", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6066", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6066", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Group Therapy,Moral Reconation Therapy (MRT)" } ] }, { "last_name": "Steig", "first_name": "Corey", "middle_name": "David", "gender": "Male", "npi": "1831975283", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW123227", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Williams", "first_name": "Erika", "middle_name": "Sharde", "gender": "Female", "npi": "1609233600", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Japanese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "126172", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2035 E BALL RD.", "address_line_2": "SUITE 100A & 100P", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-4599", "phone": "(714) 517-6140", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Individual Therapy,Eye Movement Desensitization and Reprocessing,Motivational Interviewing (MI)" } ] }, { "last_name": "Haefele", "first_name": "Lidia", "middle_name": "Minerva", "gender": "Female", "npi": "1700418548", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "112717", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Case Management,Addiction,Individual Therapy,Eye Movement Desensitization and Reprocessing,Motivational Interviewing (MI)" } ] }, { "last_name": "Park", "first_name": "Andrew", "gender": "Male", "npi": "1124489836", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Asian/Pacific Islander,LGBTQ+,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "90876", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Eye Movement Desensitization and Reprocessing,Individual Therapy,Motivational Interviewing (MI),Post Traumatic Stress Disorder (PTSD),Sexual Addictions" } ] }, { "last_name": "Ploszynski", "first_name": "Mateusz", "gender": "Male", "npi": "1447625553", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Polish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "94989", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Addiction,Individual Therapy,Group Therapy,Mindfulness,Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Warriner", "first_name": "Richard", "middle_name": "Allyn", "suffix": "II", "gender": "Male", "npi": "1619512563", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "110255", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Case Management,Cognitive Behavioral Therapy (CBT),Eye Movement Desensitization and Reprocessing,Individual Therapy,Moral Reconation Therapy (MRT),Motivational Interviewing (MI)" } ] }, { "last_name": "Andersen", "first_name": "Cryssa", "middle_name": "Byers", "gender": "Female", "npi": "1407242704", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT102238", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Asai", "first_name": "Michelle", "gender": "Female", "npi": "1467131714", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci38600523", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hobbs", "first_name": "Allen", "middle_name": "Roy", "gender": "Male", "npi": "1306524350", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RAC16164", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Shirk", "first_name": "Steven", "middle_name": "Anthony", "gender": "Male", "npi": "1669254744", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16464", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Penunuri", "first_name": "Rafael", "middle_name": "Arturo", "gender": "Male", "npi": "1831270362", "taxonomy": "207R00000X", "taxonomy_description": "Internal Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G50737", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G50737", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G50737", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Campo", "first_name": "Todd", "middle_name": "Russell", "suffix": "Jr.", "gender": "Male", "npi": "1821794579", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "137580", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Costa Mesa", "entity": "00030", "npi2": "1356464051", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2801 BRISTOL STREET", "address_line_2": "SUITE 200", "city": "COSTA MESA", "state": "CA", "zip_code": "92626-5996", "phone": "(714) 850-8431", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Couple's Therapy,Eye Movement Desensitization and Reprocessing,Individual Therapy,Trauma Informed Care" } ] }, { "last_name": "Maurer", "first_name": "Mackenzie", "middle_name": "Michelle", "gender": "Female", "npi": "1386199552", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "105805", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Case Management,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Crisis Intervention Services,Individual Therapy,Moral Reconation Therapy (MRT),Motivational Interviewing (MI),Trauma Informed Care" } ] }, { "last_name": "Till", "first_name": "Kim", "middle_name": "Catherine", "gender": "Female", "npi": "1558455295", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW27713", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education,Perinatal" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "27713", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Murillo", "first_name": "Christopher", "middle_name": "Anthony", "gender": "Male", "npi": "1760832612", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adoptees,Geriatric Issues,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "136134", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults/Older Adults", "specialties": "Trauma Informed Care,Eye Movement Desensitization and Reprocessing" } ] }, { "last_name": "Leong", "first_name": "Jeffrey", "suffix": "", "gender": "Male", "npi": "1194258707", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A158987", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A158987", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A158987", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support" } ] }, { "last_name": "Apolinar", "first_name": "Karen", "middle_name": "Rivera", "gender": "Female", "npi": "1649631623", "taxonomy": "1041C0700X;171M00000X", "taxonomy_description": "Social Worker Clinical,Case Manager/Care Coordinator", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "118284", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2035 E BALL RD.", "address_line_2": "SUITE 100A & 100P", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-4599", "phone": "(714) 517-6140", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Batchelder", "first_name": "Heather", "middle_name": "Lee", "gender": "Female", "npi": "1750928966", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A064770824", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders" } ] }, { "last_name": "Lynch", "first_name": "Lauren", "middle_name": "Marie", "gender": "Female", "npi": "1144969882", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "2313136III", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "2313136III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Maxey", "first_name": "Robert", "middle_name": "Joseph", "gender": "Male", "npi": "1821680158", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14351", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14351", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14351", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Miller", "first_name": "Masako", "middle_name": "Awano", "gender": "Female", "npi": "1124604475", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "122389", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Moreno Martinez", "first_name": "Aleida", "middle_name": "Alexa", "gender": "Female", "npi": "1508587932", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "143475", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Wendel", "first_name": "Albert", "gender": "Male", "npi": "1639869001", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "114354", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "114354", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "114354", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Craig", "first_name": "Colette", "middle_name": "Anne", "gender": "Female", "npi": "1245864370", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Justice Involved,Perinatal,Victims of Abuse", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "132040", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults,Perinatal", "specialties": "Cognitive Behavioral Therapy (CBT),Post Traumatic Stress Disorder (PTSD),Psychodynamic Therapy,Psychoeducational Groups,Solution Focused Therapy,Criminal Justice,Substance Use Disorder (SUD) Services and Education,Case Management,Narrative Therapy,Addiction,Recovery and Resilience Models,Victim Awareness,Women's Issues,Child and Family Meeting (CFT),Individual Therapy,Parenting Skills,Recovery Based Treatment Planning,Eye Movement Desensitization and Reprocessing,Low Income Populations,Seeking Safety,Anxiety Disorders,Integrative Treatment for Complex Trauma (ITCT),Perinatal,Trauma and Stress Related Disorders,Group Therapy,Interpersonal Therapy,Mindfulness,Trauma Focused Cognitive Behavioral Therapy (TF-CBT),Person-Centered Therapy,Trauma Informed Care,Moral Reconation Therapy (MRT),Codependency,Motivational Interviewing (MI)" } ] }, { "last_name": "Dewindt", "first_name": "Kevin", "middle_name": "Thomas", "gender": "Male", "npi": "1679660369", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "American Sign Language (ASL)", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C057440618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marquez", "first_name": "Alfred", "gender": "Male", "npi": "1598852923", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C058150618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Addiction" } ] }, { "last_name": "Avila", "first_name": "Yolanda", "gender": "Female", "npi": "1316412505", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "204448II", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hudzik", "first_name": "James", "middle_name": "Kelton", "gender": "Male", "npi": "1235621566", "taxonomy": "101YA0400X;1041C0700X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder),Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "136091", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Button", "first_name": "Lisa", "middle_name": "", "gender": "Female", "npi": "1346715091", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "8711", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carmona", "first_name": "Andrea", "middle_name": "Clark", "gender": "Female", "npi": "1740889880", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci29070220", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci29070220", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci29070220", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci29070220", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chagolla", "first_name": "Jasmine", "gender": "Female", "npi": "1255027751", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1511080623", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1511080623", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "" } ] }, { "last_name": "Kayanan", "first_name": "Jewelana", "middle_name": "Marie", "gender": "Female", "npi": "1386105484", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136136", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136136", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136136", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136136", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136136", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Koloa", "first_name": "Rosanna", "gender": "Female", "npi": "1992347827", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1462940322", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1462940322", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Goldenstein", "first_name": "Margaret", "middle_name": "Elizabeth", "gender": "Female", "npi": "1871204958", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "17966", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez", "first_name": "Melinda", "gender": "Female", "npi": "1487323648", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "135367", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Naficy", "first_name": "K Mitchell", "gender": "Male", "npi": "1699755264", "taxonomy": "207Q00000X", "taxonomy_description": "Family Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G72771", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G72771", "license_type": "Physician", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G72771", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G72771", "license_type": "Physician", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "G72771", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Swanson", "first_name": "Mykayla", "gender": "Female", "npi": "1114692290", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci43730724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci43730724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Crosby", "first_name": "Joshua", "middle_name": "David James", "gender": "Male", "npi": "1679090054", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "SUDCC6194", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Standingwater", "first_name": "Debbie", "gender": "Female", "npi": "1346861010", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "121931", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "121931", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Downey", "first_name": "Christian", "middle_name": "Donavan", "gender": "Another Gender Identity", "npi": "1659824530", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT128579", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Adults/Older Adults", "specialties": "Co-Occurring Disorders,Crisis Intervention Services,Substance Use Disorder (SUD) Services and Education,LGBTQ+,Addiction,Transgender, Gender Diverse, and Intersex (TGI)" } ] }, { "last_name": "Kaminsky", "first_name": "Kathryn", "middle_name": "Ann", "gender": "Female", "npi": "1467924555", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C0901214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Rodarte", "first_name": "Berenice", "gender": "Female", "npi": "1184230005", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci40300923", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Milhalick", "first_name": "Melissa", "gender": "Female", "npi": "1255570743", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "196228", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Westminster", "entity": "00030", "npi2": "1427271659", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X,261QR0405X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center),Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "14140 BEACH BLVD.", "address_line_2": "SUITE 120, 155 & 200", "city": "WESTMINSTER", "state": "CA", "zip_code": "92683-4453", "phone": "(714) 934-4600", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sami", "first_name": "David", "gender": "Male", "npi": "1205924081", "taxonomy": "207W00000X", "taxonomy_description": "Ophthalmology", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A74825", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A74825", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A74825", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A74825", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Smith", "first_name": "Carl", "gender": "Male", "npi": "1255547964", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14352", "license_type": "Physician Assistants", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Johnson", "first_name": "Kimberly", "gender": "Female", "npi": "1629491550", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "11505", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Taylor", "first_name": "Clark", "gender": "Male", "npi": "1023352531", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "10178", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Unlayao", "first_name": "Ezekiel", "middle_name": "Ongyaco", "gender": "Male", "npi": "1770262586", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16524", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lee", "first_name": "Penny", "gender": "Female", "npi": "1104056902", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "11603", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Davila", "first_name": "Julio", "middle_name": "Cesar", "gender": "Male", "npi": "1477231736", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "17489", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fernandez", "first_name": "George", "middle_name": "Hector", "gender": "Male", "npi": "1487322798", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "12243", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mercs", "first_name": "Nicole", "middle_name": "Christina", "gender": "Female", "npi": "1801578026", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "15945", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Pongvarin", "first_name": "Patana", "gender": "Female", "npi": "1649762188", "taxonomy": "163WA0400X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "227571", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Stanton FP NTP", "entity": "SUD11", "npi2": "1942342811", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0198994", "address_line_1": "10751 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2604", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Beach", "first_name": "Tracy", "middle_name": "Renee", "gender": "Female", "npi": "1467135590", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2315092", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2315092", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2315092I", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chan", "first_name": "Lucas", "middle_name": "Sean", "gender": "Male", "npi": "1578298949", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1472100622", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1472100622", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci42940624", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "De Chochor", "first_name": "Denis", "middle_name": "Germain", "gender": "Male", "npi": "1730956434", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A052651121", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A052651121", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A052651121", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Doane-Parker", "first_name": "Danielle", "middle_name": "Rae", "gender": "Female", "npi": "1821518374", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17043", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17043", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17043", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Floyd", "first_name": "Vikki", "middle_name": "Lue", "gender": "Female", "npi": "1346958758", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A065101024", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A065101024", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A065101024", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Jenna", "middle_name": "Bree", "gender": "Female", "npi": "1942842869", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20864", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20864", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20864", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzales", "first_name": "Joseph", "gender": "Male", "npi": "1174088512", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7781", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7781", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7781", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzales", "first_name": "David", "middle_name": "Frank", "suffix": "Jr", "gender": "Male", "npi": "1184289688", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10662", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10662", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10662", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guerra", "first_name": "Channa", "middle_name": "Chiccarelli", "gender": "Female", "npi": "1194597708", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16540", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16540", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16540", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Habib", "first_name": "Hosna", "middle_name": "Abdullah", "gender": "Female", "npi": "1447924246", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15956", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15956", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15956", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Haro", "first_name": "Claudia", "gender": "Female", "npi": "1952913261", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10889", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Harvey", "first_name": "Laura", "middle_name": "Marie", "gender": "Female", "npi": "1417317835", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A022240316", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A022240316", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A022240316", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Heitkemper", "first_name": "Jonas", "middle_name": "Timothy", "gender": "Male", "npi": "1548931710", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16317", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16317", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16317", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jensen", "first_name": "Monique", "middle_name": "Angelique", "gender": "Female", "npi": "1891391710", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151861", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151861", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151861", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jones", "first_name": "Emily", "middle_name": "Elizabeth", "gender": "Female", "npi": "1649043605", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RH0016461125", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RH0016461125", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RH0016461125", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kay", "first_name": "Kathleen", "middle_name": "Ann", "gender": "Female", "npi": "1083240188", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114001", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114001", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114001II", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kelly", "first_name": "Patrick", "middle_name": "Kevin", "gender": "Male", "npi": "1013783059", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6915", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6915", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6915", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kijak", "first_name": "Lisa", "middle_name": "Ann", "gender": "Female", "npi": "1902518350", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129347", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129347", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "129347", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gordian", "first_name": "Aleena", "middle_name": "Marie", "gender": "Female", "npi": "1447840293", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2414497III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2414497III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Liewald", "first_name": "Michael", "middle_name": "Horst", "gender": "Male", "npi": "1225501786", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci40511023", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci40511023", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci40511023", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lopez", "first_name": "Amanda", "middle_name": "Marie", "gender": "Female", "npi": "1518535723", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17445RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17445RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17445RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Corrales", "first_name": "Jesabel", "middle_name": "Luna", "gender": "Female", "npi": "1053982785", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18034", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18034", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18034", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Malone", "first_name": "Briana", "middle_name": "Lynn", "gender": "Female", "npi": "1275724973", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "108599", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "108599", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "108599", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martin", "first_name": "Melissa", "middle_name": "Terra", "gender": "Female", "npi": "1548897374", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A042220916", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A042220916", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A042220916", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mchugh", "first_name": "Diana", "middle_name": "Marie", "gender": "Female", "npi": "1962158428", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "138295", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "138295", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "138295", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Menas", "first_name": "Kathryn", "middle_name": "Ann", "gender": "Female", "npi": "1417319468", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7161", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7161", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "7161", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Miller", "first_name": "Keith", "middle_name": "Eugene", "gender": "Male", "npi": "1972958833", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114084", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114084", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114084", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Morales", "first_name": "Angela", "middle_name": "Marie", "gender": "Female", "npi": "1861059453", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "B00003300324", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "B00003300324", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "B00003300324", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Movchan", "first_name": "Andrew", "middle_name": "Gene", "gender": "Male", "npi": "1508210261", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A011480315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A011480315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A011480315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ozmint", "first_name": "Dora", "middle_name": "Shannon", "gender": "Female", "npi": "1407385222", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A063451123", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A063451123", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A063451123", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Munoz", "first_name": "Frank", "middle_name": "Ben", "gender": "Male", "npi": "1649779984", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17289", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17289", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17289", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Naimat", "first_name": "Jordan", "middle_name": "Jamil Dylan", "gender": "Male", "npi": "1770211278", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18909", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18909", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18909", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Padilla", "first_name": "Adrian", "middle_name": "Velasco", "gender": "Male", "npi": "1699247171", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "218833", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "218833", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "218833", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Palombi", "first_name": "Lori", "middle_name": "Lynn", "gender": "Female", "npi": "1710348172", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145185", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145185", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "145185", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Parks", "first_name": "Elizabeth", "middle_name": "Renee", "gender": "Female", "npi": "1295480614", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17171", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17171", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17171", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "George", "middle_name": "Robert", "gender": "Male", "npi": "1205694171", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "144817", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "144817", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "144817", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Randolph", "first_name": "Florena", "gender": "Female", "npi": "1831559269", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A013170315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A013170315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A013170315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ransom", "first_name": "Lorrie", "middle_name": "Jeanette", "gender": "Female", "npi": "1376063974", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A051590120", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A051590120", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A051590120", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reay", "first_name": "Erin", "middle_name": "Nicole", "gender": "Female", "npi": "1326567637", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A061971222", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A061971222", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A061971222", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rios Villalobos", "first_name": "Viviana", "gender": "Female", "npi": "1174158075", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17140", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17140", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17140", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sibolboro", "first_name": "Leigh", "middle_name": "Antoinette", "gender": "Female", "npi": "1063055846", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20524", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20524", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20524", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Sum", "first_name": "Jennifer", "middle_name": "Lee", "gender": "Female", "npi": "1639695620", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16121", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trask", "first_name": "Daniel", "middle_name": "John", "gender": "Male", "npi": "1407549223", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci50160126", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci50160126", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci50160126", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Turner", "first_name": "Ashley", "middle_name": "Marlaneya", "gender": "Female", "npi": "1407538903", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16092RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16092RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16092RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Victores", "first_name": "Kelsi", "middle_name": "Maureen", "gender": "Female", "npi": "1013651645", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17914RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17914RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17914RC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Villalpando", "first_name": "Irma", "gender": "Female", "npi": "1275620528", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "8859", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "8859", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "8859", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "White Sweet", "first_name": "Alayjia", "middle_name": "Rebecca", "gender": "Female", "npi": "1598316523", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci46390225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci46390225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci46390225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wicks", "first_name": "Andrea", "middle_name": "Rebecca", "gender": "Female", "npi": "1427541358", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17493", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17493", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17493", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Brown", "first_name": "Timothy", "gender": "Male", "npi": "1649732199", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci44500924", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci44500924", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Galkulame", "first_name": "Medhankara", "middle_name": "Thero", "gender": "Male", "npi": "1033610365", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13944", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13944", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hammaker", "first_name": "Johna", "middle_name": "Kathleen", "gender": "Female", "npi": "1821628256", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1528630923", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1528630923", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Holler", "first_name": "Andrew", "gender": "Male", "npi": "1154835635", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10774", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10774", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Isais", "first_name": "Carlos", "gender": "Male", "npi": "1831271386", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C051400318", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C051400318", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Johnson", "first_name": "Paula", "middle_name": "Marie", "gender": "Female", "npi": "1770047029", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "C039120816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C039120816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Morgan", "first_name": "Michael", "gender": "Male", "npi": "1083178669", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A051930820", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A051930820", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Navarrette", "first_name": "Natalie", "gender": "Female", "npi": "1972237758", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15566", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reccow", "first_name": "Hui", "middle_name": "Sophia", "gender": "Female", "npi": "1023512142", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "105057", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "105057", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reyes", "first_name": "Serena", "middle_name": "Victoria", "gender": "Female", "npi": "1588389266", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14127", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sigmund", "first_name": "Gary", "middle_name": "Edward", "gender": "Male", "npi": "1780368977", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15528", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15528", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Walls", "first_name": "Edward", "gender": "Male", "npi": "1871907972", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C0661014", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C0661014", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Woodrum", "first_name": "Steve", "middle_name": "Matt", "gender": "Male", "npi": "1366085102", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16505", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen WM", "entity": "SUD12", "npi2": "1043397029", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "751 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-2741", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16505", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Heather", "middle_name": "", "gender": "Female", "npi": "1124236955", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "C052790518", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lewis", "first_name": "Michele", "gender": "Female", "npi": "1770962797", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "258620", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Valadez", "first_name": "Diane", "gender": "Female", "npi": "1194375154", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Pacific Asian", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "695243", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Adults,Perinatal", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Solution Focused Therapy,Substance Use Disorder (SUD) Services and Education,Case Management,LGBTQ+,Linkage and Referrals,Individual Therapy,Transgender, Gender Diverse, and Intersex (TGI),Rehabilitation Counseling,Motivational Interviewing (MI)" } ] }, { "last_name": "Russo", "first_name": "Gina", "middle_name": "Marie", "gender": "Female", "npi": "1366658841", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "8109", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Strawbridge", "first_name": "David", "middle_name": "Allan", "gender": "Male", "npi": "1447465273", "taxonomy": "101YA0400X;363A00000X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder),Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "18570", "license_type": "Physician Assistants", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "French", "first_name": "Helen", "middle_name": "Yvonne", "gender": "Female", "npi": "1578081774", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A062340323", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Calvario", "first_name": "Cynthia", "gender": "Female", "npi": "1639548332", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "2114332I", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Townsend-Jackson", "first_name": "Darcel", "middle_name": "D", "gender": "Female", "npi": "1144712696", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "12043", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Estes", "first_name": "Dawn", "gender": "Female", "npi": "1053513366", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "C056860618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "C056860618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lewis", "first_name": "Jerald", "gender": "Male", "npi": "1912366683", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "13512", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "13512", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tefera", "first_name": "Solomon", "gender": "Male", "npi": "1649488479", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16713", "license_type": "Physician Assistants", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Adults,Perinatal", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Community Education and Outreach,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education,Case Management,Linkage and Referrals,Adolescent,Individual Therapy,Transgender, Gender Diverse, and Intersex (TGI),Rehabilitation Counseling,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16713", "license_type": "Physician Assistants", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Case Management,Individual Therapy,Perinatal,Rehabilitation Counseling" } ] }, { "last_name": "Furlong", "first_name": "Yasmine", "gender": "Female", "npi": "1619469152", "taxonomy": "163WA0400X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "191928", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "191928", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Healey", "first_name": "Lorenne", "gender": "Female", "npi": "1699361121", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "211805", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "211805", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez", "first_name": "Anthony", "gender": "Male", "npi": "1376909887", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "38136", "license_type": "Psychiatric Technicians", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "38136", "license_type": "Psychiatric Technicians", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Pamela", "middle_name": "Lara", "gender": "Female", "npi": "1083018618", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A049780518", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A049780518", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Salazar", "first_name": "Amy", "middle_name": "Denise", "gender": "Female", "npi": "1649950643", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "15877", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "15877", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Moor", "first_name": "Zsa-Mee", "middle_name": "Gae", "gender": "Female", "npi": "1144490954", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "2013781I", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Navarro", "first_name": "Rolando", "gender": "Male", "npi": "1376721431", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Aging,Bicultural/Multicultural issues,Older Adults,Teens", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C050480218", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adults/Older Adults", "specialties": "Co-Occurring Disorders,Juvenile Justice,Rehabilitation Counseling,Individual Therapy" } ] }, { "last_name": "Farlin", "first_name": "Lanae", "gender": "Female", "npi": "1366729642", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci260115", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci260115", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Welch Ph.D.", "first_name": "David", "gender": "Male", "npi": "1467740571", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY17646", "license_type": "Psychologist - PHD-Level", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "PSY17646", "license_type": "Psychologist - PHD-Level", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Johns", "first_name": "Martin Eugene", "gender": "Male", "npi": "1922607449", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14559", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14559", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Heckman Jr.", "first_name": "Charles", "gender": "Male", "npi": "1710376900", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "1913619", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Leblanc", "first_name": "Alyssa", "gender": "Female", "npi": "1518742568", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,LGBTQ+,Perinatal,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "150752", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "150752", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Addiction" } ] }, { "last_name": "Edwards", "first_name": "Alexander", "gender": "Male", "npi": "1073211751", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "RH0015040425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "RH0015040425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "RH0015040425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Teabout", "first_name": "Adell", "middle_name": "Pleshette", "gender": "Female", "npi": "1710668538", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "18242", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "18242", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "18242", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Villa", "first_name": "Jimi", "middle_name": "Mr.", "gender": "Male", "npi": "1881372845", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1509010523", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1509010523", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1509010523", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Cipriano", "first_name": "Briza", "gender": "Female", "npi": "1831975994", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1516860823", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1516860823", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1516860823", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Muratore", "first_name": "Ryan", "gender": "Male", "npi": "1942986161", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1515090723", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1515090723", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1515090723", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Allard", "first_name": "Christine", "middle_name": "Marie", "gender": "Female", "npi": "1760256846", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "135712", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Huffman", "first_name": "Charles", "middle_name": "Scott", "suffix": "Dr.", "gender": "Male", "npi": "1891923173", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A113585", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Perinatal", "specialties": "Addiction,Medication Education, Management, and Support" } ] }, { "last_name": "Keratisomphon", "first_name": "Kistiyaporn", "gender": "Female", "npi": "1417668344", "taxonomy": "1041C0700X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "111234", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Klein", "first_name": "Valerie", "middle_name": "Rose", "gender": "Female", "npi": "1487226429", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,African American,Aging,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Co-Occurring Disorders,Dual Diagnosis,European-American,Gangs,Geriatric Issues,HIV/AIDS,Iranian,Justice Involved,Korean,Latino/Latina/LatinX,Law Enforcement,LGBTQ+,Middle Eastern,Military Culture,Multicultural,Multilingual,Multiracial,Native American,Older Adults,Pacific Asian,Perinatal,Physically Disabled,Refugee,Veterans,Victims of Abuse,Vietnamese,Visually Impaired", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "132602", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Mendoza", "first_name": "Jennifer", "middle_name": "Nancy", "gender": "Female", "npi": "1891343562", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved,Latino/Latina/LatinX", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "122536", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Scarberry", "first_name": "Deana", "middle_name": "Rachael", "gender": "Female", "npi": "1023672110", "taxonomy": "163WP0809X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "835668", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Perinatal", "specialties": "Addiction" } ] }, { "last_name": "Koliba", "first_name": "Lynda", "gender": "Female", "npi": "1164017257", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "124411", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Options", "entity": "SUD19", "npi2": "1356981393", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "101YA0400X", "site_taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "address_line_1": "601 S. HARBOR BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-4527", "phone": "(714) 878-5398", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Swanson", "first_name": "Caitlin", "middle_name": "Elaine", "gender": "Female", "npi": "1992278717", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT110812", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT110812", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT110812", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT110812", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT110812", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT110812", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wildasinn", "first_name": "Andrew", "gender": "Male", "npi": "1700418837", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A018030315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A018030315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A018030315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A018030315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A018030315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A018030315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Mills", "first_name": "Wanda", "gender": "Female", "npi": "1457718504", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C13381214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C13381214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C13381214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C13381214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Guillory", "first_name": "Marvin", "gender": "Male", "npi": "1972872331", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii16001018", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii16001018", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii16001018", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii16001018", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Merkel", "first_name": "James", "gender": "Male", "npi": "1780217901", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A055011123", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A055011123", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A055011123", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dubellay-Ortiz", "first_name": "Laurie", "gender": "Female", "npi": "1578098646", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156820III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156820III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156820III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156820III", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Valdez", "first_name": "Michael", "middle_name": "Shawn", "gender": "Male", "npi": "1205923224", "taxonomy": "2083X0100X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G79406", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G79406", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G79406", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G79406", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G79406", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "G79406", "license_type": "Physician", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,Medication Education, Management, and Support,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Crossan", "first_name": "Jamie", "middle_name": "Rae", "gender": "Female", "npi": "1710649165", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C038600816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C038600816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C038600816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C038600816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C038600816", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carrillo", "first_name": "Chris", "gender": "Male", "npi": "1578196671", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C032520315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C032520315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C032520315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C032520315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Ransom", "first_name": "Torey", "gender": "Male", "npi": "1174271050", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A054250225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A054250225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A054250225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A054250225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Beatrice", "first_name": "Danielle", "middle_name": "Irene", "gender": "Female", "npi": "1285130419", "taxonomy": "106H00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT127846", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT127846", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT127846", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT127846", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT127846", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT127846", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Barriault", "first_name": "Zachary", "gender": "Male", "npi": "1750007449", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1491541222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1491541222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1491541222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1491541222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Lujan", "first_name": "Melanie", "gender": "Female", "npi": "1821797853", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci47580525", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci47580525", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci47580525", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci47580525", "license_type": "Psychiatric Technicians", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Fuller", "first_name": "Robert", "gender": "Male", "npi": "1609998459", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii053220318", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii053220318", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii053220318", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii053220318", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Isaac", "first_name": "Tracy", "middle_name": "Rae", "gender": "Female", "npi": "1023555158", "taxonomy": "101YM0800X", "taxonomy_description": "Counselor Mental Health", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12043", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12043", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12043", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12043", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12043", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12043", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Ortiz", "first_name": "William", "gender": "Male", "npi": "1528679669", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1389610520", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1389610520", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1389610520", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cole", "first_name": "Danielle", "middle_name": "Yvette", "gender": "Female", "npi": "1134752256", "taxonomy": "164X00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "255245", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "255245", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "255245", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "255245", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Apt Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "215 W 9TH ST", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5910", "phone": "(909) 476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "9th Street apartments drug and alcohol rehab offers full continuum of care from detox to residential treatment in addition to sober living houses near me for clients for amore independent living.\nRecovery doesn’t end upon completion of residential treatment. We offer Christian sober living facilities to help ease the transition from residential stay to everyday living.\nOur Sober Living Homes are conveniently located within serene residential neighborhoods and within close proximity to local attractions. Clients are provided with updated amenities and living arrangements that are extremely conducive to long-term sobriety. Through the establishment of a community of recovery and support, we will help you continue on your lifelong journey." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "255245", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "255245", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Caldwell", "first_name": "Lora", "middle_name": "Ann", "gender": "Female", "npi": "1104129808", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "2416441", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "2416441", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mansour", "first_name": "Sally", "gender": "Female", "npi": "1922720440", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121558", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121558", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121558", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "121558", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Esqueda", "first_name": "John", "gender": "Male", "npi": "1356668982", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A05520315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A05520315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Estrada", "first_name": "Robert", "middle_name": "Anthony", "gender": "Male", "npi": "1952815094", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii063690724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii063690724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Barnett", "first_name": "Stacey", "gender": "Male", "npi": "1033657721", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii063370722", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bautista De Mora", "first_name": "Jessica", "gender": "Female", "npi": "1013628700", "taxonomy": "171M00000X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gill", "first_name": "Connor", "gender": "Male", "npi": "1750094439", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18993", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bosch", "first_name": "Mayra", "gender": "Female", "npi": "1821548835", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CS0720716", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CS0720716", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Lang", "first_name": "Sebastian", "gender": "Male", "npi": "1972221471", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci39670723", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci39670723", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hosszu", "first_name": "Angela", "gender": "Female", "npi": "1568017093", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CiCA06910217", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hagee", "first_name": "Donald", "gender": "Male", "npi": "1134812852", "taxonomy": "101YA0400X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci38490523", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Chaves", "first_name": "Sarafina", "middle_name": "Angelina", "gender": "Female", "npi": "1295307718", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1424100421", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1424100421", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Clark", "first_name": "Tiffany", "middle_name": "Rene", "gender": "Female", "npi": "1336802271", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "B00003500724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "B00003500724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mckibben", "first_name": "Kelly", "middle_name": "Lynn", "gender": "Female", "npi": "1144960543", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1439310721", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1439310721", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Felicia", "middle_name": "Catalina", "gender": "Female", "npi": "1770202194", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1469790522", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Daisy", "gender": "Female", "npi": "1104308873", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci43600724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "Ci43600724", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Miller", "first_name": "Ashley", "gender": "Female", "npi": "1750089629", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1493001222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1493001222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nyhus", "first_name": "Lynn", "middle_name": "Marie", "gender": "Female", "npi": "1063111896", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1503100323", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mac", "first_name": "Ingga", "middle_name": "Subur", "gender": "Female", "npi": "1508540923", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1497000223", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1497000223", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Walter", "first_name": "Meaghan", "middle_name": "", "gender": "Female", "npi": "1598546079", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSESXWRD", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSESXWRD", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Trujillo", "first_name": "Alex", "middle_name": "", "gender": "Male", "npi": "1770203697", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "7297", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Bowman", "first_name": "Monica", "gender": "Female", "npi": "1619568797", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "Ci46840425", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Garcia-Ocampo", "first_name": "Arleen", "gender": "Female", "npi": "1760196323", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1379140320", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Jreisat", "first_name": "Rola", "gender": "Female", "npi": "1043747421", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Arabic", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii063020321", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii063020321", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Bock", "first_name": "Richard", "middle_name": "Lee", "gender": "Male", "npi": "1699118216", "taxonomy": "207R00000X", "taxonomy_description": "Internal Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "G47602", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Dinh", "first_name": "Ngoc", "gender": "Female", "npi": "1588927933", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Vietnamese", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "LVN234176", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Glasser", "first_name": "Marcy", "gender": "Female", "npi": "1699334524", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "LVN690454", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Negrete", "first_name": "Stacie", "gender": "Female", "npi": "1881173920", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "LVN212741", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Berumen", "first_name": "Andrea", "middle_name": "Jeanne", "gender": "Female", "npi": "1184494338", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "241733", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Oceguera", "first_name": "Robert", "gender": "Male", "npi": "1457005258", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1459490322", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Guzman", "first_name": "Angelina", "gender": "Female", "npi": "1083189807", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1496930223", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents", "specialties": "" } ] }, { "last_name": "Burkes", "first_name": "Greg", "gender": "Male", "npi": "1467019810", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii8781214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Chornomud", "first_name": "Nicholas", "middle_name": "Edward", "gender": "Male", "npi": "1285312371", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15629", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15629", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cordasco", "first_name": "Krystina", "middle_name": "Marie", "gender": "Female", "npi": "1356075881", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "15571", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Escalante", "first_name": "Alejandro", "middle_name": "Trejo", "gender": "Male", "npi": "1962087700", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "SUDRC11642", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Bell", "first_name": "Anthwan", "middle_name": "Jovan", "gender": "Male", "npi": "1003575424", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12649", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Lim", "first_name": "Jennifer", "middle_name": "Shin", "gender": "Female", "npi": "1497262034", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Korean", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "152097", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carranza", "first_name": "Stephanie", "middle_name": "Lorraine", "gender": "Female", "npi": "1497206874", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "135355", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Freeman", "first_name": "Maria", "middle_name": "Nelly", "gender": "Female", "npi": "1598051005", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "092060", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Raus", "first_name": "Summer", "middle_name": "Rey", "gender": "Female", "npi": "1164155917", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13701", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sodha", "first_name": "Vinod", "gender": "Male", "npi": "1134375223", "taxonomy": "2084P0800X", "taxonomy_description": "", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "34742", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Ung", "first_name": "Nay", "middle_name": "Sou", "gender": "Female", "npi": "1437232212", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Mandarin", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "44154", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Guzman", "first_name": "Monique", "middle_name": "Elissa", "gender": "Female", "npi": "1386199644", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT118742", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Stadler", "first_name": "David", "middle_name": "Wayne", "gender": "Male", "npi": "1770037905", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "10096", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "SCHWARTZ", "first_name": "ELISSA", "middle_name": "MARIE", "gender": "Female", "npi": "1225456478", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16208", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hosea", "first_name": "Taylor", "middle_name": "Danielle", "gender": "Female", "npi": "1497372148", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "103185", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2035 E BALL RD.", "address_line_2": "SUITE 100A & 100P", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-4599", "phone": "(714) 517-6140", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Cognitive Behavioral Therapy (CBT),Eye Movement Desensitization and Reprocessing,Motivational Interviewing (MI),Individual Therapy,Trauma Informed Care" } ] }, { "last_name": "Shipley-Miltenburg", "first_name": "Diana", "gender": "Female", "npi": "1861641813", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22177", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Wolfe", "first_name": "Stephen", "middle_name": "Reed", "gender": "Male", "npi": "1346765658", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "136062", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Alexander", "first_name": "Michelle", "middle_name": "Chaker", "gender": "Female", "npi": "1942779400", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues,Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LCSW108095", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Cognitive Behavioral Therapy (CBT),Eye Movement Desensitization and Reprocessing,Individual Therapy,Trauma Focused Cognitive Behavioral Therapy (TF-CBT)" } ] }, { "last_name": "Romanelli", "first_name": "Kean", "middle_name": "Adrian", "gender": "Male", "npi": "1861969172", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Farsi", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "132695", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Cognitive Behavioral Therapy (CBT),Individual Therapy,Motivational Interviewing (MI)" } ] }, { "last_name": "Coburn", "first_name": "Kelly", "middle_name": "Gene", "gender": "Male", "npi": "1750633970", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT112266", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "2035 E BALL RD.", "address_line_2": "SUITE 100A & 100P", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-4599", "phone": "(714) 517-6140", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Addiction,Individual Therapy,Trauma Informed Care,Moral Reconation Therapy (MRT),Motivational Interviewing (MI)" } ] }, { "last_name": "Phan", "first_name": "Sarah", "middle_name": "Kim", "gender": "Female", "npi": "1801381694", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Perinatal", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17282", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education,Wellness Recovery Action Plan (WRAP),Perinatal" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17282", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thompson", "first_name": "Tamara", "middle_name": "Lee", "gender": "Female", "npi": "1376053132", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19096", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Remington", "first_name": "Melody", "middle_name": "Faith", "gender": "Female", "npi": "1558191098", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17568", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Garcia", "first_name": "Martin", "gender": "Male", "npi": "1033630702", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CiCA03330520", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Stern", "first_name": "Melanie", "middle_name": "Marie", "gender": "Female", "npi": "1457057614", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14842", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Green", "first_name": "Kathryn", "middle_name": "Rose", "gender": "Female", "npi": "1376002501", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "10771", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gregg", "first_name": "Mary", "gender": "Female", "npi": "1033954946", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1550770224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Moreno", "first_name": "Angela", "middle_name": "Virginia", "gender": "Female", "npi": "1710550132", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1432220621", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1432220621", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,Addiction" } ] }, { "last_name": "CARPIET", "first_name": "CARINA", "middle_name": "ELIZAVBETH", "gender": "Female", "npi": "1972197416", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17476", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Alejandro", "gender": "Male", "npi": "1003456096", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "155931", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Options", "entity": "SUD19", "npi2": "1356981393", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "101YA0400X", "site_taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "address_line_1": "601 S. HARBOR BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-4527", "phone": "(714) 878-5398", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "McCurdy", "first_name": "Christopher", "gender": "Male", "npi": "1093532327", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1551370224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1551370224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Smith", "first_name": "Roxanne", "gender": "Female", "npi": "1518784180", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1534071023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Haase", "first_name": "Stephen", "gender": "Male", "npi": "1891526828", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci50840326", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1543340124", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Rowe", "first_name": "Raymond", "middle_name": "Michael", "gender": "Male", "npi": "1609388099", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19313", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hansson", "first_name": "Jessica", "gender": "Female", "npi": "1215779350", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95275194", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "FUENTES", "first_name": "MIGUEL", "middle_name": "ANGEL", "gender": "Male", "npi": "1346084241", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18380", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cedas", "first_name": "Alex", "middle_name": "Jordan", "gender": "Male", "npi": "1073280871", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "AMFT149612", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hidebrand", "first_name": "Raylene", "gender": "Female", "npi": "1881412708", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1535221023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Luafalemana", "first_name": "Valentino", "middle_name": "Vaafatu", "gender": "Male", "npi": "1891412110", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1466730522", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Inzunza", "first_name": "Karla", "gender": "Female", "npi": "1801627872", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "136052", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Apodaca", "first_name": "Ronald", "gender": "Male", "npi": "1467218164", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A062230323", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Alvarado-Ruiz", "first_name": "Michael", "gender": "Male", "npi": "1730909284", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15397", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Clayton", "first_name": "Terra", "gender": "Female", "npi": "1306131628", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "775227", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Strong", "first_name": "Kisha", "middle_name": "Lashawn", "gender": "Female", "npi": "1821393471", "taxonomy": "172V00000X", "taxonomy_description": "Community Health Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19427", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Segura P", "first_name": "Brianna", "middle_name": "Alisha", "gender": "Female", "npi": "1013731967", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17102RAC", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Lara", "first_name": "Gabriel", "middle_name": "Michael", "gender": "Male", "npi": "1689408700", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156015", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156015", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wong", "first_name": "Christina", "gender": "Female", "npi": "1851110092", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1581900924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bierman", "first_name": "Corey", "gender": "Male", "npi": "1770306391", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci35980722", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci35980722", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Page", "first_name": "Sean", "middle_name": "Alexander", "gender": "Male", "npi": "1891362653", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "15605", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gamez", "first_name": "Marlon", "middle_name": "Vicente", "gender": "Male", "npi": "1528737889", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "143941", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Adolescent Outpatient", "entity": "SUD04", "npi2": "1154081867", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "1901 E. 4TH ST.", "address_line_2": "STE. 350", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3908", "phone": "(714) 486-0940", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The Adolescent Outpatient and Intensive Outpatient Program in Los Angeles serves youth with less severe alcohol and other drug abuse issues, allowing them to live at home while undergoing treatment." }, "population_served": "Adolescents", "specialties": "Addiction,Adolescent,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT),Trauma Informed Care,Seeking Safety" } ] }, { "last_name": "Hillis", "first_name": "Jessica", "middle_name": "Lynn", "gender": "Female", "npi": "1366265498", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "150298", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lindley", "first_name": "Chadd", "gender": "Male", "npi": "1225734924", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1531141023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1531141023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Cleary", "first_name": "Ryan", "middle_name": "Andrew", "gender": "Male", "npi": "1447007182", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17556", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17556", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17556", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez", "first_name": "Steven", "middle_name": "Anthony", "gender": "Male", "npi": "1942033394", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1459400222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1459400222", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Mendez", "first_name": "Alex", "gender": "Male", "npi": "1760212609", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1575810824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1575810824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Scarry", "first_name": "Kaitlyn", "middle_name": "Meta", "gender": "Female", "npi": "1669202552", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "118971", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Scott", "first_name": "LaRonn", "gender": "Male", "npi": "1467277756", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1546980224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bremer", "first_name": "Nikolai", "gender": "Male", "npi": "1871320713", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "Ci45281124", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders" } ] }, { "last_name": "Castillo", "first_name": "Annette", "middle_name": "Irazema", "gender": "Female", "npi": "1396479366", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "127683", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Humphrey", "first_name": "Rhonda", "middle_name": "Rena", "gender": "Female", "npi": "1053178228", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "18832", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Walters", "first_name": "Kayela", "gender": "Female", "npi": "1104657980", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1583211024", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fox", "first_name": "Jason", "middle_name": "Walker", "gender": "Male", "npi": "1407303035", "taxonomy": "101Y00000X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "17414", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Adolescent Outpatient", "entity": "SUD04", "npi2": "1154081867", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "1901 E. 4TH ST.", "address_line_2": "STE. 350", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3908", "phone": "(714) 486-0940", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The Adolescent Outpatient and Intensive Outpatient Program in Los Angeles serves youth with less severe alcohol and other drug abuse issues, allowing them to live at home while undergoing treatment." }, "population_served": "Adolescents", "specialties": "Addiction,Adolescent,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Nafiz", "first_name": "Rayek", "gender": "Male", "npi": "1427438571", "taxonomy": "2084P0802X", "taxonomy_description": "Psychiatry & Neurology", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A143779", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults,Adolescents", "specialties": "Adolescent,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT),Trauma Informed Care,Seeking Safety" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A143779", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A143779", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Adolescent Outpatient", "entity": "SUD04", "npi2": "1154081867", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "1901 E. 4TH ST.", "address_line_2": "STE. 350", "city": "SANTA ANA", "state": "CA", "zip_code": "92705-3908", "phone": "(714) 486-0940", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "The Adolescent Outpatient and Intensive Outpatient Program in Los Angeles serves youth with less severe alcohol and other drug abuse issues, allowing them to live at home while undergoing treatment." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A143779", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Brown", "first_name": "David", "middle_name": "Leroy", "gender": "Male", "npi": "1639985500", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20174", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Colleen", "first_name": "Callahan", "gender": "Female", "npi": "1104394709", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci40410923", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Muehl-Hagemann", "first_name": "Debra", "middle_name": "Jean", "gender": "Female", "npi": "1407217052", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "6951", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Le", "first_name": "Casey", "middle_name": "Bich", "gender": "Female", "npi": "1770305179", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "151199", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Monte Cristo WM", "entity": "SUD20", "npi2": "1952817785", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "3714 S PARTON ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92707-4831", "phone": "(714) 824-9896", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ciasullo", "first_name": "Justin", "middle_name": "Wyatt", "gender": "Male", "npi": "1346068624", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19137", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Bevacqua", "first_name": "Cynthia", "gender": "Female", "npi": "1578170734", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LR03121224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Waller", "first_name": "David", "middle_name": "Shane", "gender": "Male", "npi": "1427864479", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSZYFWNO", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSZYFWNO", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hendricks", "first_name": "Yolita", "gender": "Female", "npi": "1093536252", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1579520924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1579520924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ho Russell", "first_name": "Maria", "middle_name": "An", "gender": "Female", "npi": "1558037283", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "149918", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Birkelbach", "first_name": "Alex", "middle_name": "Emil", "gender": "Male", "npi": "1386487080", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "24814", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Vasquez", "first_name": "Kaylee", "middle_name": "Nicole", "gender": "Female", "npi": "1801612429", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cattanach", "first_name": "George", "gender": "Male", "npi": "1831803808", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16938", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders" } ] }, { "last_name": "Conner", "first_name": "Luz", "gender": "Female", "npi": "1093528135", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1579110924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1579110924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Bain", "first_name": "Lee", "middle_name": "Eldon", "gender": "Male", "npi": "1346086741", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22035", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22035", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Leach", "first_name": "Teariana", "gender": "Female", "npi": "1558195487", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1576790824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1576790824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Little", "first_name": "Isaac", "middle_name": "Ty", "gender": "Male", "npi": "1083454425", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20479", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20479", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Angelique", "gender": "Female", "npi": "1972349405", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci46300225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci46300225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Northcutt", "first_name": "Stacey", "gender": "Female", "npi": "1184464778", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN444990", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RN444990", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "O'Neill", "first_name": "Sean", "gender": "Male", "npi": "1215202304", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT112879", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT112879", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT112879", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT112879", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Roupe", "first_name": "Scott", "gender": "Male", "npi": "1003652553", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18768", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "18768", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thomas", "first_name": "Beth", "gender": "Female", "npi": "1093539728", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1573030824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1573030824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Torres", "first_name": "Anicka-Judith", "middle_name": "Iniguez", "gender": "Female", "npi": "1861216459", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20648", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20648", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzalez Calzada", "first_name": "Lizette", "gender": "Female", "npi": "1205665015", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "716894", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "716894", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Freeman", "first_name": "Vincent", "gender": "Male", "npi": "1922829670", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1555800324", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1555800324", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Fluck", "first_name": "Jeffrey", "gender": "Male", "npi": "1851934673", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "130763", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "130763", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Individual Therapy,Family Therapy,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Balcom", "first_name": "Drew", "middle_name": "Randall", "gender": "Female", "npi": "1427647262", "taxonomy": "103T00000X", "taxonomy_description": "Psychologist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "94028862", "license_type": "Psychologist - PHD-Level", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Villa", "first_name": "Frances", "middle_name": "Marie", "gender": "Female", "npi": "1851514954", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "8108", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "8108", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Gonzalez", "first_name": "Monica", "middle_name": "Aurora", "gender": "Female", "npi": "1912666090", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii051560324", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii051560324", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Vasquez", "first_name": "Robert", "gender": "Male", "npi": "1841070877", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii16031218", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Aii16031218", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Payton", "first_name": "Michelle", "middle_name": "Lorraine", "gender": "Female", "npi": "1538824115", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114216II", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2114216II", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Penaloza", "first_name": "Lisa", "middle_name": "Marie", "gender": "Female", "npi": "1336629682", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CATC2210476", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CATC2210476", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Yomjinda", "first_name": "Dara", "middle_name": "Marie", "gender": "Female", "npi": "1972981272", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW110900", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Domestic Violence Treatment,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT)" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "ASW110900", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Domestic Violence Treatment,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT)" } ] }, { "last_name": "Clarke", "first_name": "Christine", "gender": "Female", "npi": "1639948144", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21417", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21417", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Velasquez", "first_name": "Tanya", "middle_name": "Ann", "gender": "Female", "npi": "1780468041", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "23596", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "23596", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Harris ", "first_name": "Terri", "middle_name": "Lea", "gender": "Female", "npi": "1437708823", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2314615I", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Crisis Intervention Services,Suicide Assessment and Prevention" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2314615I", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Crisis Intervention Services,Suicide Assessment and Prevention" } ] }, { "last_name": "Gonzalez", "first_name": "Vanessa", "gender": "Female", "npi": "1164121661", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci44781024", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Domestic Violence Treatment" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci44781024", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Domestic Violence Treatment" } ] }, { "last_name": "Segundo", "first_name": "Jon", "middle_name": "Isaac", "gender": "Male", "npi": "1538824990", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1547640224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1547640224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez", "first_name": "Brittany", "middle_name": "Margarita", "gender": "Female", "npi": "1356187009", "taxonomy": "167G00000X", "taxonomy_description": "Licensed Psychiatric Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "42834", "license_type": "Licensed Psychiatrists", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,CPR/First Aid Certified" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "42834", "license_type": "Licensed Psychiatrists", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,CPR/First Aid Certified" } ] }, { "last_name": "Ihenyen", "first_name": "Emuan", "middle_name": "Omoyemen", "gender": "Female", "npi": "1063073922", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16972", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,CPR/First Aid Certified,Case Management" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16972", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,CPR/First Aid Certified,Case Management" } ] }, { "last_name": "Villegas", "first_name": "Danielle", "middle_name": "Alexandra", "gender": "Female", "npi": "1366273518", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "24870", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "24870", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Vasquez", "first_name": "Carolina", "gender": "Female", "npi": "1447830138", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "715668", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "715668", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Florentz-Clift", "first_name": "Tasha", "middle_name": "Nadine", "gender": "Female", "npi": "1346061876", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "278900", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "278900", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Sayres", "first_name": "Gilbert", "middle_name": "Hunt", "suffix": "Jr", "gender": "Male", "npi": "1306334164", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17601", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,CPR/First Aid Certified" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17601", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,CPR/First Aid Certified" } ] }, { "last_name": "Johnson", "first_name": "Tanika", "middle_name": "Denise", "gender": "Female", "npi": "1386267557", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "621967", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "621967", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Zellman", "first_name": "Penny", "middle_name": "Michelle", "gender": "Female", "npi": "1255156568", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13290", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13290", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 WM", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITE 301", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Araque", "first_name": "Mary", "middle_name": "Lee", "gender": "Female", "npi": "1164001715", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14239", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Simpson", "first_name": "Beverly", "gender": "Female", "npi": "1447065271", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1593251224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Schonviesner", "first_name": "Crystal", "gender": "Female", "npi": "1023826542", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1591721224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "David", "first_name": "Ibarra", "gender": "Male", "npi": "1346953809", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15181", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15181", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martinez", "first_name": "Raymond", "gender": "Male", "npi": "1487472064", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1561130524", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Sturgis", "first_name": "Shannon", "gender": "Female", "npi": "1215068291", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Dual Diagnosis", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "185791", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "Adults", "specialties": "Post Traumatic Stress Disorder (PTSD)" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "185791", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "Adults", "specialties": "Post Traumatic Stress Disorder (PTSD)" } ] }, { "last_name": "Veltz", "first_name": "Haley", "middle_name": "Morgan", "gender": "Female", "npi": "1831907799", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1578710924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1578710924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Gonzalez", "first_name": "Elisa", "middle_name": "", "gender": "Female", "npi": "1407680572", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21492", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schneider", "first_name": "Leah", "gender": "Female", "npi": "1295586592", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSDHGKVO", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSDHGKVO", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Ramirez", "first_name": "Tarshika", "gender": "Female", "npi": "1629705702", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "Ci46190225", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hutton", "first_name": "Jana", "middle_name": "Marie", "gender": "Female", "npi": "1184448938", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "21097", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rowlett", "first_name": "Richard", "gender": "Male", "npi": "1124841051", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "15823", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Covarrubias", "first_name": "Kimberly", "gender": "Transgender Female to Male", "npi": "1013747716", "taxonomy": "106S00000X", "taxonomy_description": "Behavior Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16242", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Dooley", "first_name": "Brandy", "gender": "Female", "npi": "1710697768", "taxonomy": "376K00000X", "taxonomy_description": "Nurse's Aide", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "464098", "license_type": "Certified Nurse Specialists", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Shelton", "first_name": "Edmond", "middle_name": "Walter", "gender": "Male", "npi": "1760206528", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "6189", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "6189", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Clarke-Valencia", "first_name": "Crystal", "gender": "Female", "npi": "1881012078", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "HIV/AIDS,Justice Involved,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95591", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "LGBTQ+" } ] }, { "last_name": "Henke", "first_name": "Janie", "middle_name": "Grace", "gender": "Female", "npi": "1336963156", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "R1568660724", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1568660724", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Castaneda", "first_name": "Nancy", "middle_name": "Jeannette", "gender": "Female", "npi": "1720803992", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "13261", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "13261", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lefebvre", "first_name": "Hope", "middle_name": "Marie", "gender": "Female", "npi": "1841019676", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "C6491214", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Smith", "first_name": "Candice", "gender": "Female", "npi": "1871317537", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "R1529171023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "R1529171023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Valentine", "first_name": "Michael", "gender": "Male", "npi": "1366266983", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "14687", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gallegos", "first_name": "Cecily", "gender": "Female", "npi": "1093538928", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "15369", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15369", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Prewitt", "first_name": "LaDonna", "middle_name": "", "gender": "Female", "npi": "1386467397", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "13116", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "13116", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Addiction" } ] }, { "last_name": "Kothrade", "first_name": "Teresa", "gender": "Female", "npi": "1780407478", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "A062450423", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "A062450423", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fraga", "first_name": "Gina", "middle_name": "Reigh", "gender": "Female", "npi": "1043041015", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1566820724", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hernandez", "first_name": "Jesse", "middle_name": "Mathias", "gender": "Female", "npi": "1366142465", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1501050323", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Quigua", "first_name": "Liliana", "middle_name": "Maria", "gender": "Female", "npi": "1437579067", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LMFT52235", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Manazer", "first_name": "Michael", "middle_name": "Christopher", "gender": "Male", "npi": "1174320881", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20789", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Thompkins", "first_name": "Corwin", "gender": "Male", "npi": "1487458329", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Aging,Older Adults", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1561340524", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Addiction,Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Momeny", "first_name": "Maryam", "gender": "Female", "npi": "1750194775", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1556090424", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Munoz Matyas", "first_name": "Sergio", "gender": "Male", "npi": "1912709569", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13547", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "McMaster", "first_name": "Niki", "middle_name": "Rose", "gender": "Female", "npi": "1063062297", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Abuhamad", "first_name": "Alison", "gender": "Female", "npi": "1427701275", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "12219", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Woodglen Residential", "entity": "SUD12", "npi2": "1437244159", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "771 W. ORANGETHORPE AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-2806", "phone": "(714) 879-0929", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Myers", "first_name": "Jeremy", "gender": "Male", "npi": "1558029751", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci39900823", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Buttrick", "first_name": "Brittney", "middle_name": "Alise", "gender": "Female", "npi": "1073348173", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1553280324", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Colombo", "first_name": "Aleena", "gender": "Female", "npi": "1144029950", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "25065", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Reed", "first_name": "Cary", "middle_name": "Ramadan", "gender": "Male", "npi": "1457153181", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1506490523", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Rivera", "first_name": "Jasmine", "gender": "Female", "npi": "1245064369", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1463680322", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nolan", "first_name": "Rae", "middle_name": "Michael", "gender": "Male", "npi": "1811711039", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22567", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nankuthy", "first_name": "Michael", "gender": "Male", "npi": "1669270039", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1599880225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carmona", "first_name": "Catherine", "gender": "Female", "npi": "1861289928", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1541960124", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation WM", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909)615-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1541960124", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Monfils", "first_name": "Darrol", "gender": "Male", "npi": "1326523531", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A011210315", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Palm Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "227 N PALM AVE.", "city": "UPLAND", "state": "CA", "zip_code": "91786-5939", "phone": "909-476-2023", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Palm House drug and alcohol rehab is a men’s facility located just east of Los Angeles County in the foothills of the San Gabriel mountains. This quiet location is the perfect getaway for recovery in an intimate setting with full time staff support. Like all our programs, we focus on 12-step recovery program and offers latest therapeutic techniques and an optional Christian track for the faith-based. Daily schedule of these inpatient alcohol rehabs is busy with individual therapy, group therapy including cognitive behavioral therapy and spiritual study." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Libman", "first_name": "Jeffrey", "gender": "Male", "npi": "1306588652", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1463580322", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House WM", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909)651-0957", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Carreno", "first_name": "Rosemary", "gender": "Female", "npi": "1205650256", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "MPSSEJSOKG", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Marquez", "first_name": "Jamie", "gender": "Female", "npi": "1104613710", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20977", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cota", "first_name": "Bernadette", "gender": "Female", "npi": "1700608833", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1579330924", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders" } ] }, { "last_name": "Varma", "first_name": "Diya", "gender": "Female", "npi": "1942082961", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "153495", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hagen", "first_name": "Jason", "middle_name": "Lee", "gender": "Male", "npi": "1609668854", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Latino/Latina/LatinX,Middle Eastern,Native American,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20309", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "20309", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Granvle", "first_name": "Demetrius", "middle_name": "Undriaus", "gender": "Male", "npi": "1184412868", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1529391023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rubenstein", "first_name": "Lisa", "middle_name": "Heather", "gender": "Female", "npi": "1124815584", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1607050425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Arnold", "first_name": "Carreon", "gender": "Male", "npi": "1932619426", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A047201117", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Watts", "first_name": "Kylie", "middle_name": "Renee", "gender": "Female", "npi": "1053114256", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21525", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wooldridge", "first_name": "Laura", "gender": "Female", "npi": "1770304966", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1442280821", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Avraham", "first_name": "Omri", "gender": "Female", "npi": "1932923000", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "123230", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "Anxiety Disorders" } ] }, { "last_name": "Valladares", "first_name": "Ricardo", "middle_name": "Rodolfo", "gender": "Male", "npi": "1811726003", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1546720224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Cornell", "first_name": "Chandler", "middle_name": "Scott", "gender": "Male", "npi": "1184417388", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19519", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Schultz", "first_name": "Mechelle", "middle_name": "Lynn", "gender": "Female", "npi": "1700409661", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "C041810417", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ozmint", "first_name": "John", "middle_name": "Leonard", "gender": "Male", "npi": "1083438345", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "A052620218", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "A052620218", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Serapin", "first_name": "Kaley", "gender": "Female", "npi": "1255155099", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "19335", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "19335", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Manzo", "first_name": "Raul", "gender": "Male", "npi": "1760086417", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "148176", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez Delgado", "first_name": "Miguel", "gender": "Male", "npi": "1699668277", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "1607340425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Marlo", "first_name": "Anthony", "gender": "Male", "npi": "1518768365", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "748929", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Pratt", "first_name": "Dean", "gender": "Male", "npi": "1356233936", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "1441120821", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Ozuna", "first_name": "Nancy", "gender": "Female", "npi": "1932364262", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "202603", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Harwell", "first_name": "Dustin", "gender": "Male", "npi": "1891559845", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "14838", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Medina-Morales", "first_name": "Elyjah", "middle_name": "Marie", "gender": "Female", "npi": "1497648562", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1619090725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Veverka", "first_name": "Angeline", "middle_name": "Jennifer", "gender": "Female", "npi": "1043424500", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "192220", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Snodgrass", "first_name": "Julie", "middle_name": "Rose", "gender": "Female", "npi": "1538983473", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "14721", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Singh", "first_name": "Austin", "gender": "Male", "npi": "1306660238", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "18532", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aguirre", "first_name": "Katherina", "middle_name": "Jo", "gender": "Female", "npi": "1770308405", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "19743", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gonzales", "first_name": "Courtney", "middle_name": "May", "gender": "Female", "npi": "1285390898", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A054560619", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Rossetti", "first_name": "Gina", "gender": "Female", "npi": "1679856827", "taxonomy": "208D00000X", "taxonomy_description": "General Practice", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A118518", "license_type": "Physician", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach WM", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "address_line_2": "", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "(714)703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Our medical detox center in Garden Grove, Orange County, offers numerous benefits to make this process go as smoothly as possible:\n\n24/7 Supervision: The most important part of our drug detox center in Garden Grove, Orange County, is that you will have 24/7 supervision. Doctors, psychiatrists, and nursing staff will work together to make sure you are safe and comfortable. This 24/7 supervision can ensure your symptoms do not escalate.\nMedication Management: During drug detox in Orange County, you will have access to medications that can help manage discomfort and withdrawal symptoms. Doctors will prescribe these medications whenever the symptoms are severe and unmanageable. These medications can make the detox process more comfortable.\nTherapy: The detox process takes a large toll on your mental health. In our Orange County detox facilities, you’ll have access to therapy and psychiatric help.\nHolistic Approach: To further improve your body, mind, and spirit, our medically assisted detox program includes holistic care to help you heal from the inside out." }, "population_served": "", "specialties": "" } ] }, { "last_name": "DeMeo", "first_name": "Wendy", "middle_name": "Christine", "gender": "Female", "npi": "1386351534", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "840533", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults,Adolescents", "specialties": "Adolescent,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI),Cognitive Behavioral Therapy (CBT),Trauma Informed Care,Seeking Safety" } ] }, { "last_name": "Carson", "first_name": "Lacey", "gender": "Female", "npi": "1639603988", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "CiCA00770419", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Greene", "first_name": "Gregory", "gender": "Male", "npi": "1679365308", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "10830", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Aracely", "first_name": "Galvan", "gender": "Female", "npi": "1124820873", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "r1615970525", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Quintero", "first_name": "Amber", "middle_name": "Renee", "gender": "Female", "npi": "1992692263", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "25185", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Options", "entity": "SUD19", "npi2": "1356981393", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "101YA0400X", "site_taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "address_line_1": "601 S. HARBOR BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-4527", "phone": "(714) 878-5398", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bujan", "first_name": "Emily", "middle_name": "Jessica", "gender": "Female", "npi": "1811597974", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "274424", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Turner", "first_name": "Synthia", "middle_name": "Ann", "gender": "Female", "npi": "1558152827", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "21137", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Aleman", "first_name": "Arnold", "gender": "Male", "npi": "1568256550", "taxonomy": "163W00000X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95404636", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Apodaca", "first_name": "Abel", "middle_name": "Joseph", "suffix": "Jr", "gender": "Male", "npi": "1386150886", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "9958", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hoebel", "first_name": "Stacey", "gender": "Female", "npi": "1518758705", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1593850125", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults/Older Adults", "specialties": "" } ] }, { "last_name": "Cummings", "first_name": "Ariadna", "gender": "Female", "npi": "1366229353", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "153471", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Applied Behavioral Analysis (ABA)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "153471", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Gonzalez-Romo", "first_name": "Erika", "middle_name": "Gabriela", "gender": "Female", "npi": "1467291575", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21592", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Almazan", "first_name": "Crystal", "middle_name": "Nicole", "gender": "Female", "npi": "1306638564", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22032", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "DeClue", "first_name": "Ronald", "middle_name": "Gene", "gender": "Male", "npi": "1093558595", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "R1586751124", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "R1586751124", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Grandey", "first_name": "Brittany", "gender": "Female", "npi": "1336027838", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1623790725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Leyva", "first_name": "Jessika", "gender": "Female", "npi": "1891671442", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "24607", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "1615880525", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Montes", "first_name": "Patricia", "middle_name": "Lynn", "gender": "Female", "npi": "1831071331", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1627260825", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Davis", "first_name": "Linda", "gender": "Female", "npi": "1477445724", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "22022", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Lansdale", "first_name": "Daniel", "gender": "Male", "npi": "1679467740", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "C058520618", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Mendez", "first_name": "Adriana", "gender": "Female", "npi": "1396628624", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "1621350725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Umeres", "first_name": "Angela", "gender": "Female", "npi": "1972251122", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "152689", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Manus", "first_name": "Robert", "middle_name": "Michael", "gender": "Male", "npi": "1104621754", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1593970125", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "McKinstry", "first_name": "Raymond", "middle_name": "Robinson", "gender": "Male", "npi": "1093932634", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "86824", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Maalouf", "first_name": "Gail", "gender": "Female", "npi": "1306731344", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Gangs,HIV/AIDS", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "Ci46060125", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "Adults", "specialties": "Addiction,CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Juarez", "first_name": "Crystal", "middle_name": "Desiree", "gender": "Female", "npi": "1336835487", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14593", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gogna", "first_name": "Karun", "middle_name": "", "gender": "Male", "npi": "1508131590", "taxonomy": "2084P0800X", "taxonomy_description": "Psychiatry & Neurology Psychiatry", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "A152027", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Ramirez", "first_name": "Lauren", "middle_name": "Alexis", "gender": "Female", "npi": "1518756899", "taxonomy": "363LP0808X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "95033309", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "95033309", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Weirich-Norris", "first_name": "Marlene", "gender": "Female", "npi": "1841830072", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "144217", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Motivational Interviewing (MI)" } ] }, { "last_name": "Demedenko", "first_name": "Jeanette", "gender": "Female", "npi": "1992682546", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "22359", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Engle", "first_name": "Matthew", "middle_name": "Alan", "gender": "Male", "npi": "1518757467", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1552190324", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Lyons", "first_name": "William", "middle_name": "Patrick", "suffix": "III", "gender": "Male", "npi": "1457173072", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "18866", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Stamp", "first_name": "Ian", "gender": "Male", "npi": "1982410205", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1568550724", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Shegda", "first_name": "Michelle", "gender": "Female", "npi": "1114613858", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "146832", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Martin", "first_name": "Robin", "gender": "Male", "npi": "1619854858", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "RT1418960925", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "RT1418960925", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jones", "first_name": "Chad", "gender": "Male", "npi": "1184505232", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A066900825", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hernandez", "first_name": "Jasmine", "gender": "Transgender Female to Male", "npi": "1710746078", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "16019", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Rodriguez-Garcia", "first_name": "Elizabeth", "middle_name": "Yasmin", "gender": "Female", "npi": "1245129139", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "731252", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Mission Viejo FP NTP", "entity": "SUD11", "npi2": "1386280899", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0584563", "address_line_1": "26921 CROWN VALLEY PKWY.", "address_line_2": "STE. 200", "city": "MISSION VIEJO", "state": "CA", "zip_code": "92691-6501", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Andrade", "first_name": "Phillip", "gender": "Male", "npi": "1326880949", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1620070725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hom", "first_name": "Jonathan", "middle_name": "Lun", "gender": "Male", "npi": "1316654064", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1622230725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Partovi", "first_name": "Sayeh", "gender": "Female", "npi": "1881068633", "taxonomy": "363A00000X", "taxonomy_description": "Physician Assistant", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "53039", "license_type": "Physician Assistants", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mariscal", "first_name": "Katherine", "gender": "Female", "npi": "1578256236", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1508730523", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Freeman", "first_name": "Andrew", "gender": "Male", "npi": "1336772870", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1617830625", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Burrows", "first_name": "Jessica", "middle_name": "Lynn", "gender": "Female", "npi": "1417686171", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1466110422", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Piacitelli", "first_name": "William", "middle_name": "Dalton", "gender": "Male", "npi": "1477438539", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Justice Involved", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "19611", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Addiction" } ] }, { "last_name": "Hoppe", "first_name": "Taylor", "middle_name": "Kristine", "gender": "Female", "npi": "1619732872", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "148129", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Grammer", "first_name": "Ashley", "middle_name": "Ann", "gender": "Female", "npi": "1558151266", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RT1419940925", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gomez", "first_name": "Victor", "middle_name": "", "gender": "Male", "npi": "1093691941", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1627510825", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Linkova", "first_name": "Anastasia", "middle_name": "", "gender": "Female", "npi": "1588029953", "taxonomy": "363LF0000X", "taxonomy_description": "Nurse Practitioner Family", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95002582", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lee", "first_name": "John", "middle_name": "Russell", "gender": "Male", "npi": "1184455792", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Perinatal", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "2315828I", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults,Perinatal", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education,Addiction,Perinatal" } ] }, { "last_name": "Remillong", "first_name": "Jenna", "middle_name": "Madison", "gender": "Female", "npi": "1982292405", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "132144", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "32144", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gracida", "first_name": "Angel", "middle_name": "Adrian", "gender": "Male", "npi": "1457231607", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "753457", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Montiel", "first_name": "Karen", "middle_name": "Lizette", "gender": "Female", "npi": "1003789694", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "22825", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Holmes", "first_name": "Mark", "middle_name": "Edward", "gender": "Male", "npi": "1275410136", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "156181", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Esguerra", "first_name": "Kirsten", "middle_name": "Gean Sacluti", "gender": "Female", "npi": "1316810690", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "753376", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Blais", "first_name": "Christopher", "middle_name": "Armand", "gender": "Male", "npi": "1801442611", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131643", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Carrillo Morales", "first_name": "Jaime", "middle_name": "Enrique", "gender": "Male", "npi": "1124905302", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1625610725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Options", "entity": "SUD19", "npi2": "1356981393", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "101YA0400X", "site_taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "address_line_1": "601 S. HARBOR BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-4527", "phone": "(714) 878-5398", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Gibson", "first_name": "Chelcee", "middle_name": "Suzanne", "gender": "Female", "npi": "1588389472", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "20564", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Anaya", "first_name": "Eunice", "middle_name": "Sarai", "gender": "Female", "npi": "1013805704", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "1618610625", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "1618610625", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Neff", "first_name": "Franklyn", "middle_name": "Osage", "gender": "Male", "npi": "1013887504", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2026-06-30", "license_number": "22966", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Roque Center WM", "entity": "SUD13", "npi2": "1689772170", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "10936 DALE AVE.", "city": "STANTON", "state": "CA", "zip_code": "90680-2724", "phone": "(714) 952-4032", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Perry", "first_name": "Hank", "middle_name": "", "gender": "Male", "npi": "1639044282", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1592261224", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Nguyen", "first_name": "Ann", "middle_name": "Kim", "gender": "Female", "npi": "1902778012", "taxonomy": "163WA0400X", "taxonomy_description": "Registered Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95086847", "license_type": "Nurse - RN, LPN, NA", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education,Motivational Interviewing (MI)" } ] }, { "last_name": "Cantero", "first_name": "Dawn", "gender": "Female", "npi": "1437027489", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1443500921", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1443500921", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Medina", "first_name": "Shawn", "middle_name": "", "gender": "Male", "npi": "1619839784", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RT1418550825", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Lopez", "first_name": "Esperanza", "gender": "Female", "npi": "1841744349", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "148877", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sarkisian", "first_name": "John", "gender": "Male", "npi": "1649147471", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1576820824", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Shanin", "first_name": "Anton", "middle_name": "Fedorovich", "gender": "Male", "npi": "1467283051", "taxonomy": "207QA0401X", "taxonomy_description": "Family Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95031622", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Adults,Perinatal", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Solution Focused Therapy,Substance Use Disorder (SUD) Services and Education,Case Management,LGBTQ+,Linkage and Referrals,Individual Therapy,Transgender, Gender Diverse, and Intersex (TGI),Rehabilitation Counseling,Motivational Interviewing (MI)" } ] }, { "last_name": "May", "first_name": "John", "middle_name": "Edward", "gender": "Male", "npi": "1205686581", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "9200", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "De La Vega", "first_name": "Omar", "gender": "Male", "npi": "1619474517", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131521", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Villaluz", "first_name": "Michaela", "gender": "Female", "npi": "1255183141", "taxonomy": "363L00000X", "taxonomy_description": "Nurse Practitioner", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "95029170", "license_type": "Nurse Practitioner/ Advanced/Masters RN", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Bingham Heinzelmann", "first_name": "Veronica", "gender": "Female", "npi": "1144451972", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "25761", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Kern", "first_name": "Morgan", "gender": "Female", "npi": "1841170800", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hancock", "first_name": "Katelyn", "gender": "Female", "npi": "1689552127", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hollomon", "first_name": "Krysta", "middle_name": "Leolani", "gender": "Female", "npi": "1114779311", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "16653", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Isaia", "first_name": "Margianne", "gender": "Female", "npi": "1083044275", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "LPCC8592", "license_type": "Professional Clinical Counselor (LPCC)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Moore", "first_name": "Bryan", "gender": "Male", "npi": "1912351396", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "735990", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Costa Mesa NP/FP NTP", "entity": "SUD11", "npi2": "1578902466", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148557", "address_line_1": "275 VICTORIA ST.", "address_line_2": "STE. 1H", "city": "COSTA MESA", "state": "CA", "zip_code": "92627", "phone": "(949) 629-2862", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Tedra", "gender": "Female", "npi": "1275400392", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22514", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Genesis New Beginning", "entity": "SUD17", "npi2": "1215441852", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "17822 BEACH BLVD.", "address_line_2": "278", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-7180", "phone": "619-277-1240", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Each patient will receive care from a case manager, a licensed clinician, and a medical provider. Genesis New Beginning has created this model in order to see all our patients’ progress or excel in their treatment goals. We know that all our patients have their own treatment goals." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Diaz", "first_name": "Andrew", "gender": "Male", "npi": "1992671432", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "23099", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Matthew", "first_name": "Gomer", "middle_name": "Edward", "gender": "Male", "npi": "1558232504", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A057860820", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim", "entity": "00030", "npi2": "1548383243", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "222 S. HARBOR BLVD", "address_line_2": "STE 200", "city": "ANAHEIM", "state": "CA", "zip_code": "92805", "phone": "(714) 517-6140", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "Outpatient Substance Use Disorder Treatment Services" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A057860820", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Morey", "first_name": "Gordon", "gender": "Male", "npi": "1710842273", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "C034990715", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Addiction" } ] }, { "last_name": "Raymond", "first_name": "Ronald", "gender": "Male", "npi": "1316803638", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1617680625", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Gerry House", "entity": "SUD10", "npi2": "1396804225", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1225 & 1227 W 6TH ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92703", "phone": "(714) 972-1402", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Addiction" } ] }, { "last_name": "Jones", "first_name": "Savanna", "middle_name": "Morgan", "gender": "Female", "npi": "1649915497", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "14003", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "Adults", "specialties": "Case Management" } ] }, { "last_name": "Gonzalez-Brooks", "first_name": "Kimberly", "middle_name": "Paige", "gender": "Female", "npi": "1427849108", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "1423821225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "" } ] }, { "last_name": "Epps", "first_name": "Sydnie", "gender": "Female", "npi": "1922986801", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSYWGJNR", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Outpatient", "entity": "SUD14", "npi2": "1588207583", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "30252 TOMAS", "address_line_2": "", "city": "RANCHO SANTA MARGARITA", "state": "CA", "zip_code": "92688-2129", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Adult county-contracted Outpatient SUD Clinic provides a broad range of outpatient services for adults struggling with substance use disorders, co-occurring mental health issues, and the complex needs associated with trauma, homelessness, and human trafficking. Services include assessment, individual and group counseling, case management, and recovery services. Medication-Assisted Treatment (MAT), including coordination of Sublocade and Subutex, is also offered. Crisis intervention, relapse prevention planning, and linkages to housing, employment, and medical care are provided to support long-term recovery. Coordination with sober living homes, probation, child welfare services, and other agencies is routinely conducted to ensure comprehensive care." }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Rubio", "first_name": "Maria", "gender": "Female", "npi": "1821679226", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Co-Occurring Disorders", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15846", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Aliso Viejo", "entity": "00030", "npi2": "1457574683", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QM0801X", "site_taxonomy_description": "Clinic/Center Mental Health (Including Community Mental Health Center)", "address_line_1": "5 MAREBLU", "address_line_2": "SUITE 100, 200, 250", "city": "ALISO VIEJO", "state": "CA", "zip_code": "92656-3014", "phone": "(949) 643-6930", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "Adults/Older Adults", "specialties": "Co-Occurring Disorders" } ] }, { "last_name": "Dominguez", "first_name": "Amanda", "middle_name": "Rocio", "gender": "Female", "npi": "1598575789", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "126986", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Keegan", "first_name": "Kevin", "middle_name": "Michael", "gender": "Male", "npi": "1285591024", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Corbin", "first_name": "John", "middle_name": "Thomas", "gender": "Male", "npi": "1043185606", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Valentine", "first_name": "Xochitl", "middle_name": "Margarita", "gender": "Female", "npi": "1093677452", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "23816", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Salas", "first_name": "Mary", "middle_name": "Carmen", "gender": "Female", "npi": "1346119542", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "VN751804", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Collier", "first_name": "Brooke", "middle_name": "Marie", "gender": "Female", "npi": "1437044153", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1613330525", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Espinoza", "first_name": "Helena", "middle_name": "Joelene", "gender": "Female", "npi": "1346109857", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "24418", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Zuniga", "first_name": "John", "middle_name": "Paul", "gender": "Transgender Male to Female", "npi": "1003766130", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1592801224", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Valdez", "first_name": "Melanie", "gender": "Female", "npi": "1871461590", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "21242", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Options", "entity": "SUD19", "npi2": "1356981393", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "101YA0400X", "site_taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "address_line_1": "601 S. HARBOR BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-4527", "phone": "(714) 878-5398", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hairapetian", "first_name": "Jesika", "gender": "Female", "npi": "1386443166", "taxonomy": "390200000X", "taxonomy_description": "Student in an Organized Health Care Education/Training Program", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "", "license_type": "Other Qualified Provider", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Hsiao", "first_name": "Megan", "middle_name": "Yerlam", "gender": "Female", "npi": "1457925166", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "148979", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wenzel", "first_name": "Megan", "gender": "Female", "npi": "1720970783", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1619880725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education,Perinatal" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1619880725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Escobar", "first_name": "Lori", "gender": "Female", "npi": "1922887462", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1530661023", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hickman", "first_name": "Atavia", "middle_name": "Rochille", "gender": "Female", "npi": "1376343806", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "R1606710425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Bivens", "first_name": "Shimmering Rain", "middle_name": "Bethany", "gender": "Female", "npi": "1013626027", "taxonomy": "106S00000X", "taxonomy_description": "Behavior Technician", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "158560", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "158560", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Hoevelkamp", "first_name": "Ashley", "gender": "Female", "npi": "1588528608", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Children and Adolescents", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1425851225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT Residential", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN ROAD", "address_line_2": "", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1425851225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Pawling", "first_name": "Megan", "gender": "Female", "npi": "1538925441", "taxonomy": "175T00000X", "taxonomy_description": "Peer Specialist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSPUIQWL", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "MPSSPUIQWL", "license_type": "Peer Support Specialist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "" } ] }, { "last_name": "Ross", "first_name": "Jeremiah", "gender": "Male", "npi": "1033925466", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,Gangs,Group Home Youth,Justice Involved,Latino/Latina/LatinX,Middle Eastern,Native American,Older Adults,Physically Disabled,Transitional Aged Youth (TAY),Veterans", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A067730226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Newport Beach", "entity": "SUD07", "npi2": "1013314699", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "251S00000X", "site_taxonomy_description": "Community/Behavioral Health", "address_line_1": "4019 WESTERLY PL.", "address_line_2": "STE. 102", "city": "NEWPORT BEACH", "state": "CA", "zip_code": "92660-2333", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "A0677630226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adults", "specialties": "Cognitive Behavioral Therapy (CBT),Addiction,Adolescent,Dialectical Behavior Therapy (DBT),Trauma Informed Care,Motivational Interviewing (MI)" } ] }, { "last_name": "Rosales", "first_name": "Clarice", "gender": "Female", "npi": "1316776875", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1418691025", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Garcia", "first_name": "Julian", "gender": "Male", "npi": "1790599066", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R154615012", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD His House Residential", "entity": "SUD16", "npi2": "1659662351", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "239 W 9TH ST.", "address_line_2": "", "city": "UPLAND", "state": "CA", "zip_code": "91786-5979", "phone": "(909) 981-6121", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "offers\u00A0care\u00A0for\u00A0young\u00A0adults,\u00A0co-occurring\u00A0disorders,\u00A0chronic\u00A0pain\u00A0prescription\u00A0medication\u00A0addiction,\u00A0and\u00A0also\u00A0offers\u00A0specialized\u00A0family\u00A0counseling.\u00A0They\u00A0offer\u00A0continuing\u00A0care\u00A0to\u00A0help\u00A0clients\u00A0transition\u00A0from\u00A0full\u00A0day\u00A0treatment\u00A0to\u00A0Intensive\u00A0Outpatient\u00A0or\u00A0Sober\u00A0Living." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Franchino", "first_name": "Caitlin", "middle_name": "Paige", "gender": "Female", "npi": "1487520771", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1571200724", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD New Creation Residential", "entity": "SUD16", "npi2": "1740569235", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "650 S INDIAN HILL BLVD", "city": "CLAREMONT", "state": "CA", "zip_code": "91711-5444", "phone": "(909) 514-1958", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Alcohol and drug rehab at New Creation provides addiction treatment services for women and men in many different ways. We provide strategies for recovery services, withdrawal management, suboxone detox, and recovery treatment for alcohol, cocaine, meth, heroin, MDMA and other club drugs, and more. Because we offer dual diagnosis treatment, we are also prepared to address and treat anxiety, panic disorders, depression and other mental health issues. Finally, our safe locations and community-first spirit make New Creation Treatment perfect for women and men recovering from trauma or suffering PTSD." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Daly", "first_name": "Lani", "middle_name": "Jeannette", "gender": "Female", "npi": "1104250745", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "010422IV", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Spencer", "first_name": "Raquel", "middle_name": "Simone", "gender": "Female", "npi": "1659908382", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Bicultural/Multicultural issues,Children and Adolescents,Co-Occurring Disorders,Dual Diagnosis,Multicultural,Transitional Aged Youth (TAY)", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "13232", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Welmor Anaheim", "entity": "SUD07", "npi2": "1366000143", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "103T00000X", "site_taxonomy_description": "Psychologist", "address_line_1": "415 N STATE COLLEGE BLVD", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92806-2917", "phone": "(714) 540-9070", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Wel-Mor Psychology Group, inc. is a renowned health institution. Our dedicated team of psychologists and therapists are committed to providing high-quality mental health services to individuals of all ages. We offer a wide range of therapeutic approaches to address various mental health concerns, including anxiety, depression, trauma, and relationship issues. At Wel-Mor Psychology Group, inc., we strive to create a safe and supportive environment where clients can explore their emotions and work towards personal growth and healing. Visit us at 4019 Westerly Place to start your journey towards better mental health today." }, "population_served": "Adolescents,Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "TEYMOURI", "first_name": "NIKKI", "middle_name": "", "gender": "Female", "npi": "1720942204", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "159056", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Sanchez", "first_name": "Miguel", "middle_name": "Quispe", "gender": "Male", "npi": "1801472501", "taxonomy": "207Q00000X", "taxonomy_description": "Family Medicine", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A193843", "license_type": "Physician", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Fischer", "first_name": "Sonja", "middle_name": "Renate", "gender": "Female", "npi": "1962369116", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "24139", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Addiction" }, { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "24139", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse WM", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Addiction" } ] }, { "last_name": "SALGADO JOVEL", "first_name": "DAFNE", "middle_name": "ILEANA", "gender": "Female", "npi": "1720708092", "taxonomy": "101YP2500X", "taxonomy_description": "Counselor", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Certified" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "15587", "license_type": "Associate Professional Clinical Counselor", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "San Agustin", "first_name": "Michael", "gender": "Male", "npi": "1982578126", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "17589", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Zeigler-Bruzzone", "first_name": "Helki", "gender": "Female", "npi": "1891541728", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "155339", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Recovery Beach Residential", "entity": "SUD25", "npi2": "1871930966", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "13212 CHAPMAN AVE", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92840-4414", "phone": "714-703-9492", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Recovery Beach is an addiction treatment center that stands out with inpatient treatment in Orange County. We focus on personalized support for those facing addiction. We will ensure that you receive care that’s as unique as your story. Our goal is to help you regain control of your life in a setting that heals the body, soul, and mind. For a journey back to yourself, surrounded by unwavering support, dial our number today and get more details on our residential rehab in Orange County." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Cabrera", "first_name": "Cristal", "gender": "Female", "npi": "1548023724", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17203", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Morris", "first_name": "Nicole", "middle_name": "Anne", "gender": "Female", "npi": "1912794850", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1604400325", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "4281 KATELLA AVE.", "address_line_2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zip_code": "90720-3590", "phone": "(562) 596-0050", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Saldana", "first_name": "Stephanie", "middle_name": "Valentina", "gender": "Female", "npi": "1528767787", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "20672", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Anaheim Comprehensive Treatment Center", "entity": "SUD05", "npi2": "1215030861", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PC0195796", "address_line_1": "1420 N STATE COLLAGE BLVD", "city": "ANAHEIM", "state": "CA", "zip_code": "92806", "phone": "(714) 542-3581", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Mazaheri", "first_name": "Omid", "gender": "Male", "npi": "1447116942", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "1421341025", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Tapia", "first_name": "Jasmine", "middle_name": "Vaneza", "gender": "Female", "npi": "1285317701", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "131942", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD HealthRIGHT 360 Residential", "entity": "SUD26", "npi2": "1164137337", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "265 SOUTH ANITA DRIVE", "address_line_2": "SUITES 202, 301, 302", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "949-531-6344", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32", "program_description": "Located on the Be Well campus, a multi-service behavioral health center for Orange County residents, HealthRIGHT 360 provides gender responsive withdrawal management and residential treatment for adult men and women. The program offers a therapeutic milieu to improve the health, safety, and self-sufficiency of people struggling with addiction." }, "population_served": "", "specialties": "" } ] }, { "last_name": "ADIRA", "first_name": "RENITA", "middle_name": "LOIS", "gender": "Female", "npi": "1952893372", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "24654", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "23521 PASEO DE VALENCIA", "address_line_2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zip_code": "92653", "phone": "(949) 540-0170", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Webster", "first_name": "Sarah", "gender": "Female", "npi": "1841140951", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1568700724", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Motivational Interviewing (MI)" } ] }, { "last_name": "Yatco De Lucas", "first_name": "Jessica", "middle_name": "Belinda", "gender": "Female", "npi": "1316637713", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1586781124", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "705 W LA VETA AVE.", "address_line_2": "STE 208", "city": "ORANGE", "state": "CA", "zip_code": "92868", "phone": "(714) 532-9295", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Perez", "first_name": "Daniel", "middle_name": "Rolando", "gender": "Male", "npi": "1073309159", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Dual Diagnosis,LGBTQ+,Multicultural", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "20232", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "20232", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Pappas", "first_name": "Patricia", "gender": "Female", "npi": "1942510219", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Dual Diagnosis,Multicultural", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "251786", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "251786", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Ly", "first_name": "Yen", "middle_name": "Hoang", "gender": "Female", "npi": "1013889559", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22059", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "22059", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions WM", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Jacobson", "first_name": "Ronald", "gender": "Male", "npi": "1003768623", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RT1428940126", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Porzio", "first_name": "Justin", "middle_name": "Lee", "gender": "Male", "npi": "1700737293", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "R1598430225", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Sober Solutions Residential", "entity": "SUD24", "npi2": "1144953670", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "12781 JOSEPHINE ST", "city": "GARDEN GROVE", "state": "CA", "zip_code": "92841-4622", "phone": "(714)606-0853", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hughes", "first_name": "Christina", "gender": "Female", "npi": "1962190421", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A062370323", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "A062370323", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Huizar", "first_name": "George", "gender": "Male", "npi": "1255049466", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1553680324", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1553680324", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Koba", "first_name": "Melissa", "gender": "Female", "npi": "1386522266", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Dual Diagnosis,LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1619860725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1619860725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "", "specialties": "" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1619860725", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Valenzuela", "first_name": "Toni", "middle_name": "Love", "gender": "Female", "npi": "1598505554", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,LGBTQ+,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "SUDRII17528", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Grant", "first_name": "Kristen", "gender": "Female", "npi": "1326611138", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "2214264", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hamm", "first_name": "Brandi", "middle_name": "", "gender": "Female", "npi": "1205678067", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "R1528630923", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Rios", "first_name": "Crystal", "middle_name": "Marquez", "gender": "Female", "npi": "1760170138", "taxonomy": "1041C0700X", "taxonomy_description": "Social Worker Clinical", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "114226", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "Wetle", "first_name": "Laura", "middle_name": "Emma", "gender": "Female", "npi": "1902326705", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "120594", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults,Children/Youth", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Orozco", "first_name": "Emily", "middle_name": "Marie", "gender": "Female", "npi": "1982385233", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "156893", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Jones", "first_name": "Eric", "gender": "Male", "npi": "1053605212", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "89584", "license_type": "Marriage and Family Therapist/Licensed Marriage and Family Therapist", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Wilson", "first_name": "Nathan", "gender": "Male", "npi": "1720969983", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "746243", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "746243", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "HECITA", "first_name": "MAKOA", "gender": "Male", "npi": "1003483967", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" }, { "language": "Spanish", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2027-06-30", "license_number": "RH0015120425", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Genesis New Beginning", "entity": "SUD17", "npi2": "1215441852", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "17822 BEACH BLVD.", "address_line_2": "278", "city": "HUNTINGTON BEACH", "state": "CA", "zip_code": "92647-7180", "phone": "619-277-1240", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "Each patient will receive care from a case manager, a licensed clinician, and a medical provider. Genesis New Beginning has created this model in order to see all our patients’ progress or excel in their treatment goals. We know that all our patients have their own treatment goals." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Garcia", "first_name": "Alejandro", "middle_name": "", "gender": "Male", "npi": "1508720814", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "African American,Asian/Pacific Islander,Bicultural/Multicultural issues,Chicano American,European-American,Hearing Impaired,HIV/AIDS,Latino/Latina/LatinX,LGBTQ+,Middle Eastern,Physically Disabled,Visually Impaired", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "95031622", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton FP NTP", "entity": "SUD11", "npi2": "1750423620", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "PW0213481", "address_line_1": "218 E. COMMONWEALTH AVE.", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(818) 956-3737", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "Adolescents,Adults,Perinatal", "specialties": "Asian and Pacific Islander Community,Cognitive Behavioral Therapy (CBT),Co-Occurring Disorders,Solution Focused Therapy,Substance Use Disorder (SUD) Services and Education,Case Management,LGBTQ+,Linkage and Referrals,Individual Therapy,Transgender, Gender Diverse, and Intersex (TGI),Rehabilitation Counseling,Motivational Interviewing (MI)" } ] }, { "last_name": "Smith", "first_name": "Kristal", "gender": "Female", "npi": "1669326450", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "Aii050280218", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Cymbol", "first_name": "Justin", "gender": "Male", "npi": "1457202806", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Co-Occurring Disorders,Dual Diagnosis,LGBTQ+", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "23434", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "No", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "23434", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House WM", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714)953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "Withdrawal management at Phoenix House is a non-medical supervised detox with an average stay of seven days. On admission, clients are medically screened, receive a physical examination, and are evaluated for taper, support, and psychiatric medications to ensure withdrawals are completed with minimal symptoms." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "23434", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Outpatient", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "25", "program_description": "At Phoenix House California, our customized outpatient rehabilitation services are structured to accommodate patients in all stages of recovery. We provide the continuing care that’s necessary after an individual has left residential treatment.\nMany of the patients that we work with in our outpatient rehabilitation program are living at home or in sober living facilities. Within their life and work schedules, our team provides the recovery services that are required to help them stay on track with their wellness goals.\nAbove all, our outpatient services are designed to help recovering adults to solidify their commitment to their sobriety. These groups are facilitated by licensed therapists that understand the many challenges that come along with addiction, mental health disorders, and substance abuse. Sessions are held weekly to ensure that recovery is a consistent process for participants.\nThrough our outpatient program, we also provide people in recovery with community resources that benefit their goals. This might include anything from family services and job placement assistance to parenting classes, relapse prevention groups, and medical services, as needed." }, "population_served": "Adults", "specialties": "Co-Occurring Disorders,Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Guillen", "first_name": "Jazel", "gender": "Female", "npi": "1194676643", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,Multicultural,Perinatal", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1431350226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "CPR/First Aid Certified,Substance Use Disorder (SUD) Services and Education,Addiction" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1431350226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Reedy", "first_name": "Angela", "middle_name": "Pearl", "gender": "Female", "npi": "1356296057", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,LGBTQ+,Perinatal,Veterans", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1432010226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1432010226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Hepburn", "first_name": "Tyler", "gender": "Male", "npi": "1659224962", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults,Children and Adolescents,Perinatal,Teens", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1430540226", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary 2 SRT WM", "entity": "SUD14", "npi2": "1720653553", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20302 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adolescents", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "Boone", "first_name": "Travis", "middle_name": "Allen", "gender": "Male", "npi": "1467021311", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "Yes", "cultural_capabilities": "Adults,LGBTQ+,Perinatal", "accepting_CHIP": "No", "TGI_training": "Yes", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1435360326", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary Residential", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN RD.", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949) 283-1260", "webSite": "http://www.theteenproject.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" }, { "contract_effective_date": "2023-07-01", "contract_expiration_date": "2026-06-30", "license_number": "RT1435360326", "license_type": "Substance Use Disorder Counselors - Certified (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Vera's Sanctuary WM", "entity": "SUD14", "npi2": "1609345743", "medical_certificate_effective_date": "2023-07-01", "medical_certificate_expiration_date": "2026-06-30", "site_taxonomy_code": "3245S0500X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "20331 FLANAGAN ROAD", "city": "TRABUCO CANYON", "state": "CA", "zip_code": "92679-0975", "phone": "(949)283-1260", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults,Perinatal", "specialties": "Substance Use Disorder (SUD) Services and Education" } ] }, { "last_name": "QUEZADA", "first_name": "KIRSTIE", "middle_name": "ALISZA", "gender": "Female", "npi": "1144926445", "taxonomy": "101YA0400X", "taxonomy_description": "Counselor Addiction (Substance Use Disorder)", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-07-01", "contract_expiration_date": "2027-06-30", "license_number": "17472", "license_type": "Substance Use Disorder Counselors - Registered (DMC-ODS Only)", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Hope House", "entity": "SUD02", "npi2": "1578646469", "medical_certificate_effective_date": "2024-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "710 & 714 N. ANAHEIM BLVD.", "address_line_2": "", "city": "ANAHEIM", "state": "CA", "zip_code": "92805-2651", "phone": "(714) 776-7490", "webSite": "http://www.mhaoc.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "" } ] }, { "last_name": "MANEJA", "first_name": "KELLY", "middle_name": "ROMA", "gender": "Male", "npi": "1851244768", "taxonomy": "164X00000X", "taxonomy_description": "Licensed Vocational Nurse", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "VN740258", "license_type": "Licensed Vocational Nurses", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Western Pacific Fullerton NP NTP", "entity": "SUD11", "npi2": "1922447812", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "261QM2800X", "site_taxonomy_description": "Clinic/Center", "DEA_number": "RW0148569", "address_line_1": "218 E COMMONWEALTH AVE", "city": "FULLERTON", "state": "CA", "zip_code": "92832-1911", "phone": "(714) 992-4770", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25" }, "population_served": "", "specialties": "" } ] }, { "last_name": "Wilson", "first_name": "Scott", "middle_name": "Timothy", "gender": "Male", "npi": "1992696488", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2025-07-01", "contract_expiration_date": "2028-06-30", "license_number": "393400", "license_type": "Associate Clinical Social Worker", "service_type": "", "telehealth": "Does not provide TeleHealth services", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Phoenix House Residential", "entity": "SUD04", "npi2": "1295812626", "medical_certificate_effective_date": "2025-07-01", "medical_certificate_expiration_date": "2028-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1207 E FRUIT ST.", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4206", "phone": "(714) 953-9373", "webSite": "http://www.phoenixhouseca.org", "ADA_compliant": "Yes", "TDD_TTY_avail": "Yes", "telehealth_available": "No", "facility_code": "32", "program_description": "For individuals seeking residential substance use treatment with round-the-clock care and an intensive therapy program, we offer residential treatment services. In residential treatment, you can enter our treatment facility for typically 60 – 90 days, where you will be able to detox and enter a therapy program that builds a foundation for recovery." }, "population_served": "", "specialties": "" } ] }, { "last_name": "Lee", "first_name": "Sul Gi", "gender": "Female", "npi": "1124842976", "taxonomy": "104100000X", "taxonomy_description": "Social Worker", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "Adults", "accepting_CHIP": "Yes", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2024-11-01", "contract_expiration_date": "2027-06-30", "license_number": "137107", "license_type": "Master of Social Work/Licensed Clinical Social Worker", "service_type": "", "telehealth": "Services only through TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD Lighthouse Residential", "entity": "SUD27", "npi2": "1124359369", "medical_certificate_effective_date": "2024-11-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "324500000X", "site_taxonomy_description": "Substance Abuse Rehabilitation Facility", "address_line_1": "1320 W PEARL ST", "city": "ANAHEIM", "state": "CA", "zip_code": "92801-5941", "phone": "714-780-1174", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "32" }, "population_served": "Adults", "specialties": "Co-Occurring Disorders" } ] }, { "last_name": "Namowicz", "first_name": "Caleb", "gender": "Male", "npi": "1437015245", "taxonomy": "106H00000X", "taxonomy_description": "Marriage & Family Therapist", "english_fluency": "Yes", "cultural_competency_training": "Yes", "medicare_provider": "No", "cultural_capabilities": "", "accepting_CHIP": "No", "TGI_training": "No", "provider_languages": [ { "language": "English", "fluency": "Fluent" } ], "provider_sites": [ { "contract_effective_date": "2022-07-01", "contract_expiration_date": "2027-06-30", "license_number": "159052", "license_type": "Associate Marriage Family Therapist", "service_type": "", "telehealth": "Services both in-person and TeleHealth", "accept_new_patient": "Yes", "site": { "plan_type": "DMC", "site_name": "ADAS SUD DUI/Drug Court Santa Ana", "entity": "00030", "npi2": "1518080217", "medical_certificate_effective_date": "2022-07-01", "medical_certificate_expiration_date": "2027-06-30", "site_taxonomy_code": "261QR0405X", "site_taxonomy_description": "Clinic/Center Rehabilitation, Substance Use Disorder", "address_line_1": "200 W SANTA ANA BLVD", "address_line_2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zip_code": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "ADA_compliant": "Yes", "TDD_TTY_avail": "No", "telehealth_available": "No", "facility_code": "25", "program_description": "DUI/Drug Court programs provide outpatient and intensive outpatient substance use treatment for justice involved adults whose substance use is leading to repeated legal involvement. Clients are referred through the respective Courts. Treatment focuses on SUD diagnosis and mild to moderate co-occurring mental health diagnosis. Treatment services include assessment using the ASAM criteria, individual and group counseling, case management, and crisis management services. Treatment level is determined based on medical necessity. Program staff also collaboratea nd work closely with other agencies making up the Court Team to assist the client in creating positive change and supporting recovery." }, "population_served": "", "specialties": "" } ] } ]