MEDICARE: MATERNAL MENTAL HEALTH NOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1578496816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATERNAL MENTAL HEALTH NOW

Provider Business Mailing Address
First Line	:	1308 E COLORADO BLVD UNIT 3203
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1932
Country	:	US
Telephone Number	:	646-704-2688
Fax Number	:

Provider Business Practice Location Address
First Line	:	11980 SAN VICENTE BLVD STE 909
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-6607
Country	:	US
Telephone Number	:	646-704-2688
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KELLY O'CONNOR KAY
Credential	:
Telephone Number	:	646-704-2688

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “MATERNAL MENTAL HEALTH NOW ” Practice Location

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