NPIMap

Organization Active NPI

Uniquely Behavioral Health LLC

  • Early Intervention Provider Agency
  • Los Angeles, CA
National Provider Identifier
1033899497
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
UNIQUELY BEHAVIORAL HEALTH LLC
Practice address
529 W 105TH St
Los Angeles, CA 90044-4423
Phone
(310) 299-5982
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Carolyn ForneasNPI 1366942146
Title
Founder / Director of Operations
Phone
(310) 740-5236

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

529 W 105TH St
Los Angeles, CA 90044-4423

Mailing address

8605 Santa Monica Blvd # 264936
West Hollywood, CA 90069-4109

National Provider Directory

National Provider Directory

Locations

2521 Valley Dr
Hermosa Beach, CA 90254
Phone (213) 948-1803

8605 Santa Monica Blvd
West Hollywood, CA 90069

Practitioners & affiliated clinicians

Practitioners 12

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": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1033899497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 264936",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 W 105TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444423",
            "telephone_number": "310-299-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "FORNEAS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "FOUNDER / DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "310-740-5236"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "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 Sep 1, 2023; 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.