NEW LIFE COMMUNITY MENTAL HEALTH CENTER
NPI 1902336563
Clinic/Center - Mental Health (Including Community Mental Health Center) in Long Beach, CA

Active since June 15, 2017
741 ATLANTIC AVE, LONG BEACH, CA 90813(562) 432-7398(562) 432-7399 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017, Jun 15, 2017 (3 updates tracked since 2017).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About NEW LIFE COMMUNITY MENTAL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for New Life Community Mental Health Center, a provider established in Long Beach, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1902336563 assigned on June 2017. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Svetlana Chizhov (Administrator)

NPI
1902336563 Verify this NPI
Provider Name
NEW LIFE COMMUNITY MENTAL HEALTH CENTER
Entity Type
Organization
Location Address
741 ATLANTIC AVE LONG BEACH, CA 90813
Location Phone
(562) 432-7398
Location Fax
(562) 432-7399
Mailing Address
741 ATLANTIC AVE LONG BEACH, CA 90813
Mailing Phone
(562) 432-7398
Mailing Fax
(562) 432-7399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2017
Last Update Date
07-21-2022
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

SVETLANA CHIZHOV

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(818) 744-7255

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902336563, enumerated as an "organization" on June 15, 2017.

The provider is located at 741 ATLANTIC AVE LONG BEACH, CA 90813 and the phone number is (562) 432-7398.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).