MEDICARE: ALCOTT CENTER FOR MENTAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	251B00000X	Case Management Agency
3	261QM0850X	Adult Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942338090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALCOTT CENTER FOR MENTAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	10549 JEFFERSON BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-3513
Country	:	US
Telephone Number	:	310-785-2121
Fax Number	:	310-553-6052

Provider Business Practice Location Address
First Line	:	10559 JEFFERSON BLVD.
Second Line	:	SUITES A, D, E
City	:	CULVER CITY
State	:	CA
Zip	:	90232-9023
Country	:	US
Telephone Number	:	310-785-2121
Fax Number	:	310-553-6052

Authorized Official
Title or Position	:	DIRECTOR OF PROGRAMS
Name	:	MRS. KRISTIN L RANGEL
Credential	:	LCSW
Telephone Number	:	310-785-2121

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	01/06/2025

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