NPIMap

Organization Active NPI

Magnolia Clinical Services

  • Behavior Analyst
  • Van Nuys, CA
National Provider Identifier
1003307414
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAGNOLIA CLINICAL SERVICES
Practice address
5656 Cantaloupe Ave
Van Nuys, CA 91401-4712
Phone
(818) 489-0846
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Elizabeth Hughes, PH.D.NPI 1376669747
Title
Owner/Clinical Director
Phone
(818) 489-0866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5656 Cantaloupe Ave
Van Nuys, CA 91401-4712

Mailing address

5656 Cantaloupe Ave
Van Nuys, CA 91401-4712
Phone (818) 489-0846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1003307414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 CANTALOUPE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014712",
            "telephone_number": "818-489-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 CANTALOUPE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914014712",
            "telephone_number": "818-489-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "818-489-0866",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.