| Newport Academy-santa Monica | |
|
2001 Wilshire Blvd Ste 525 Santa Monica CA 90403-5807 | |
| (714) 202-5166 | |
| (866) 273-8095 |
| Full Name | Newport Academy-santa Monica |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2001 Wilshire Blvd Ste 525, Santa Monica, California |
| Authorized Official Name and Position | Keith Thompson (CHIEF LEGAL & DEVELOPMENT OFFICER) |
| Authorized Official Contact | 9494324622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Academy-santa Monica L-3969 Columbus OH 43260-3969 Ph: (714) 202-5166 | Newport Academy-santa Monica 2001 Wilshire Blvd Ste 525 Santa Monica CA 90403-5807 Ph: (714) 202-5166 |
| NPI Number | 1073109047 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073109047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (NU) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (NU) | Secondary |
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