NPIMap

Organization Active NPI

Children Hospital Los Angeles Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1033301221
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CHILDREN HOSPITAL LOS ANGELES MENTAL HEALTH
Practice address
3250 Wilshire Blvd
Suites 300, 320, 500 & 600
Los Angeles, CA 90010-1577
Phone
(323) 361-3849
Fax
(323) 361-7081
NPI assigned
Aug 13, 2007
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Marisa Glucoft
Title
Vice President, Quality and Safety
Phone
(323) 361-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

3250 Wilshire Blvd
Suites 300, 320, 500 & 600
Los Angeles, CA 90010-1577

Mailing address

3250 Wilshire Blvd
Suite 300, 320, 500 & 600
Los Angeles, CA 90010-1577
Phone (323) 361-3849

Other names 1

  • Childrens Hospital Community Mental Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Regional Ctr for Mently16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

3250 Wilshire Blvd
Ste 500
Los Angeles, CA 90010
Phone (323) 361-2350

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1033301221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WILSHIRE BLVD",
            "address_2": "SUITE 300, 320, 500 & 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101577",
            "telephone_number": "323-361-3849",
            "fax_number": "323-361-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WILSHIRE BLVD",
            "address_2": "SUITES 300, 320, 500 & 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101577",
            "telephone_number": "323-361-3849",
            "fax_number": "323-361-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN HOSPITAL LOS ANGELES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "GLUCOFT",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "VICE PRESIDENT, QUALITY AND SAFETY",
        "authorized_official_telephone_number": "323-361-3356"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Hospital Community Mental Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Childrens Hospital Community Mental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 5, 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.