Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cyh Medical Group (De), PA

Organization Mental Health Counselor · NPI 1992430045

Cyh Medical Group (De), PA provides Mental Health Counselor services in Marina del Rey, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4136 Del Rey Ave
Marina del Rey, CA 90292-5604
Phone: (410) 886-7398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Analyst Taxonomy 103K00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1992430045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Montville — Chief Medical Officer · (612) 805-7008
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4136 Del Rey Ave, Marina Del Rey, CA 90292-5604

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