Organization Active NPI

Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Inglewood, CA
National Provider Identifier
1003533001
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIDI HIRSCH PSYCHIATRIC SERVICE
Practice address
11044 S Freeman Ave
Inglewood, CA 90304-2418
Phone
(310) 677-7808
Fax
(310) 751-5481
NPI assigned
Oct 20, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dulce M Ruiz
Title
Contracts & Grants Manager
Phone
(310) 751-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11044 S Freeman Ave
Inglewood, CA 90304-2418

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612

Other names 1

  • Didi Hirsch at Animo Leadership Other name

National Provider Directory

National Provider Directory
Tax ID family
Cac Didi Hirsch Suicide Support Services32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

11044 S Freeman Ave
Inglewood, CA 90304

Practitioners & affiliated clinicians

Practitioners 1

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1003533001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612",
            "fax_number": "310-751-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11044 S FREEMAN AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042418",
            "telephone_number": "310-677-7808",
            "fax_number": "310-751-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIDI HIRSCH PSYCHIATRIC SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DULCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACTS & GRANTS MANAGER",
        "authorized_official_telephone_number": "310-751-5442"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Didi Hirsch at Animo Leadership",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Didi Hirsch at Animo Leadership",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.