EXPERIENCE MENTAL AND BEHAVIORAL HEALTH, INC
NPI 1235952649
Psychiatry & Neurology - Addiction Medicine in North Hollywood, CA

Active since November 04, 2024
12130 VICTORY BLVD, SUITE A, NORTH HOLLYWOOD, CA 91606(888) 264-6168 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Addiction Medicine

About EXPERIENCE MENTAL AND BEHAVIORAL HEALTH, INC

This page provides the complete NPI Profile along with additional information for Experience Mental And Behavioral Health, Inc, a provider established in North Hollywood, California operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1235952649 assigned on November 2024. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Experience Mental And Behavioral Health, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Adnan Elias Khoury Md (Psychiatrist/president/ceo)

NPI
1235952649 Verify this NPI
Provider Name
EXPERIENCE MENTAL AND BEHAVIORAL HEALTH, INC
Entity Type
Organization
Location Address
12130 VICTORY BLVD SUITE A NORTH HOLLYWOOD, CA 91606
Location Phone
(888) 264-6168
Mailing Address
12130 VICTORY BLVD SUITE A NORTH HOLLYWOOD, CA 91606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2024
Last Update Date
11-04-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ADNAN ELIAS KHOURY MD

Authorized Official Title
PSYCHIATRIST/PRESIDENT/CEO
Authorized Official Phone
(818) 421-4871

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235952649, enumerated as an "organization" on November 04, 2024.

The provider is located at 12130 VICTORY BLVD SUITE A NORTH HOLLYWOOD, CA 91606 and the phone number is (888) 264-6168.

Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.