MEDICARE: COMPTON MENTAL HEALTH

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922186865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPTON MENTAL HEALTH

Provider Business Mailing Address
First Line	:	1721 NEIL ARMSTRONG ST APT 104
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-1930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 E COMPTON BLVD FL 1
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221-3303
Country	:	US
Telephone Number	:	310-668-6800
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC SOCIAL WORKER
Name	:	ENID HAIRSTON
Credential	:
Telephone Number	:	310-668-6800

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1992987309 — ANDREA IRENE JACKSON
Practice Location Address:

921 E COMPTON BLVD
COMPTON, CA
90221-3303

Practice Phone: 310-668-6953
Practice Fax:

1902839533 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

921 E COMPTON BLVD
COMPTON, CA
90221-3303

Practice Phone: 310-668-6800
Practice Fax: 310-223-0694

1295742609 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

921 E COMPTON BLVD
COMPTON, CA
90221-3303

Practice Phone: 310-223-0334
Practice Fax:

1780769273 — MR. SCOTT MASTERS WALLACH LCSW
Practice Location Address:

921 E. COMPTON BLVD., FIRST FLOOR
COMPTON, CA
90221-3303

Practice Phone: 310-668-6860
Practice Fax:

1760568489 — COMPTON METAL HEALTH CENTER
Practice Location Address:

921 E COMPTON BLVD FL 1
COMPTON, CA
90221-3303

Practice Phone: 310-668-6800
Practice Fax:

1548347743 — COMPTON
Practice Location Address:

921 E COMPTON BLVD
COMPTON, CA
90221-3303

Practice Phone: 310-668-6891
Practice Fax:

Directions to “COMPTON MENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.