Individual provider Active NPI

Shelly Susan Flood

  • Day Training/Habilitation Specialist
  • Los Angeles, CA
National Provider Identifier
1003088766
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
3754 Overland Ave
Los Angeles, CA 90034-6312
Phone
(310) 392-5855
NPI assigned
Apr 1, 2008
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X CA Primary

Addresses

Primary practice location

3754 Overland Ave
Los Angeles, CA 90034-6312

Mailing address

3745 Overland Ave
Los Angeles, CA 90034-6311
Phone (323) 482-2391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up on Second Street, Inc. CurrentSince May 25, 2025 Accepting new patients
Brighter Beginnings Addiction (Substance Use Disorder) Past Accepting new patients
Brighter Beginnings Drug and Alcohol Rehabilitation Facility Past Accepting new patients

Locations

3745 Overland Ave
Los Angeles, CA 90034
Phone (310) 392-5855

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1003088766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346311",
            "telephone_number": "323-482-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346312",
            "telephone_number": "310-392-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "SHELLY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.