MOURNING GLORY CLUB INC
NPI 1912712381
Occupational Therapist - Mental Health in Marina Del Rey, CA

Q: What is Mourning Glory Club Inc's NPI number?

The NPI number for Mourning Glory Club Inc is 1912712381. It was assigned to this organization in the NPPES registry on February 11, 2025.

Q: What is Mourning Glory Club Inc's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Mental Health, with taxonomy code 225XM0800X.

Active since February 11, 2025

7 FLEET ST APT 108, MARINA DEL REY, CA 90292(646) 436-5976 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mourning Glory Club Inc NPPES

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

MOURNING GLORY CLUB INC (NPI 1912712381) is a healthcare organization registered as a mental health in Marina Del Rey, California and active in the NPI registry since February 2025. The organization lists Aleksei Archer, Founder, as its authorized official.

NPPES Registry Identity

NPI1912712381

Entity TypeOrganization

Primary Taxonomy225XM0800X

Legal Business NameMOURNING GLORY CLUB INC

Location Address7 FLEET ST APT 108Marina Del Rey, CA 90292-5731

Mailing Address7 Fleet St Apt 108Marina Del Rey, CA 90292-5731 · (646) 436-5976

Phone(646) 436-5976

Organization SubpartNo

Authorized OfficialAleksei ArcherFounder · (646) 436-5976

Enumeration DateFebruary 11, 2025

NPPES CertifiedFebruary 11, 2025

✔ NPI 1912712381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Mental HealthRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XM0800X

Definition

Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.

7 FLEET ST APT 108, Marina Del Rey, CA 90292

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mourning Glory Club Inc's NPI number?

The NPI number for Mourning Glory Club Inc is 1912712381. It was assigned to this organization in the NPPES registry on February 11, 2025.

Where is Mourning Glory Club Inc located?

Mourning Glory Club Inc is located at 7 Fleet St Apt 108, Marina Del Rey, CA 90292. The listed phone number is (646) 436-5976.

What is Mourning Glory Club Inc's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Mental Health, with taxonomy code 225XM0800X.

When was this NPI record last updated?

The NPPES record for Mourning Glory Club Inc was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.