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SOCAL INNOVATIVE BEHAVIORAL HEALTH LLC
NPI 1760146583
Community/Behavioral Health in Pasadena, CA

Active since October 27, 2021
104 S ROOSEVELT AVE, PASADENA, CA 91107(310) 927-3060 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Socal Innovative Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOCAL INNOVATIVE BEHAVIORAL HEALTH LLC (NPI 1760146583) is a healthcare organization registered as a community/behavioral health in Pasadena, California and active in the NPI registry since October 2021. The organization lists Mark Grandpre, Owner, as its authorized official.

NPPES Registry Identity

NPI1760146583
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOCAL INNOVATIVE BEHAVIORAL HEALTH LLC
Location Address104 S ROOSEVELT AVEPasadena, CA 91107-4126
Mailing Address104 S Roosevelt AvePasadena, CA 91107-4126 · (310) 927-3060
Phone(310) 927-3060
Organization SubpartNo
Authorized OfficialMark GrandpreOwner · (310) 927-3060
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1760146583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
104 S ROOSEVELT AVE, Pasadena, CA 91107
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK GRANDPRE
Behavior Analyst
104 S ROOSEVELT AVE
PASADENA, CA 91107
Los Angeles County (310) 927-3060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Socal Innovative Behavioral Health LLC's NPI number?

The NPI number for Socal Innovative Behavioral Health LLC is 1760146583. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Socal Innovative Behavioral Health LLC located?

Socal Innovative Behavioral Health LLC is located at 104 S Roosevelt Ave, Pasadena, CA 91107. The listed phone number is (310) 927-3060.

What is Socal Innovative Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Socal Innovative Behavioral Health LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.