Jack Gaines a Professional Corp.
NPI 1619210291 · Adult Mental Health Clinic/Center · Encino, CA
Jack Gaines a Professional Corp. is a Adult Mental Health Clinic/Center organization in Encino, CA (NPI 1619210291).
Provider details
- NPI number
- 1619210291
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Gaines, President(818) 981-4030
- License
- C14269 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2013-04-01
Frequently asked questions
- What is Jack Gaines a Professional Corp.'s NPI number?
- Jack Gaines a Professional Corp.'s National Provider Identifier (NPI) is 1619210291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Gaines a Professional Corp.?
- Jack Gaines a Professional Corp. is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack Gaines a Professional Corp. located?
- Jack Gaines a Professional Corp.'s practice location on file with NPPES is 4833 Rubio Ave, Encino, CA 91436-1118.
- What is Jack Gaines a Professional Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Jack Gaines a Professional Corp. is (818) 981-4030.
- Who is the authorized official for Jack Gaines a Professional Corp.?
- The authorized official listed on Jack Gaines a Professional Corp.'s NPPES record is Jack Gaines, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Gaines a Professional Corp.'s NPI active?
- Yes — Jack Gaines a Professional Corp.'s NPI (1619210291) is active in the NPPES registry as of the last update on 2013-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.