NPIMap

Organization Active NPI

Tessie Cleveland Community Services Corporation

Doing business as Tessie Cleveland Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palmdale, CA
National Provider Identifier
1003293721
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TESSIE CLEVELAND COMMUNITY SERVICES CORPORATION
Doing business as
Tessie Cleveland Community Services
Practice address
450 W Palmdale Blvd
Suite B
Palmdale, CA 93551-3104
Phone
(323) 586-7333
Fax
(310) 965-9791
NPI assigned
May 1, 2015
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Shronda Givens, LCSWNPI 1457506024
Title
Executive Director
Phone
(323) 586-7333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

450 W Palmdale Blvd
Suite B
Palmdale, CA 93551-3104

Mailing address

8019 Compton Ave
Los Angeles, CA 90001-3409
Phone (323) 586-7333

Other names 1

  • TESSIE CLEVELAND COMMUNITY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tessie Cleveland Community7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 W Palmdale Blvd
Ste B
Palmdale, CA 93551
Phone (661) 267-9943

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1003293721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013409",
            "telephone_number": "323-586-7333",
            "fax_number": "310-965-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W PALMDALE BLVD",
            "address_2": "SUITE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513104",
            "telephone_number": "323-586-7333",
            "fax_number": "310-965-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSIE CLEVELAND COMMUNITY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "SHRONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-586-7333",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TESSIE CLEVELAND COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.