MEDICARE: STEWARD OF MENTAL WEALTH, P.C.

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	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	2084P0804X	Child & Adolescent Psychiatry Physician

General Provider Information

NPI Number	:	1851283774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEWARD OF MENTAL WEALTH, P.C.

Provider Business Mailing Address
First Line	:	2730 WILSHIRE BLVD STE 325
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4747
Country	:	US
Telephone Number	:	323-872-5584
Fax Number	:	323-872-5584

Provider Business Practice Location Address
First Line	:	1184 N MADISON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029
Country	:	US
Telephone Number	:	323-872-5584
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN MICHAEL STEWART
Credential	:	MD
Telephone Number	:	323-872-5584

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	12/11/2025

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