Organization Active NPI

Julia-Elise Childs Therapy: a Licensed Clinical Social Worker Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
National Provider Identifier
1043086945
Registry record updated Nov 30, 2023
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
JULIA-ELISE CHILDS THERAPY: A LICENSED CLINICAL SOCIAL WORKER CORP.
Practice address
200 E del Mar Blvd Ste 160
Pasadena, CA 91105-2507
Phone
(626) 765-5308
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Mrs. Julia-Elise W Childs, LCSWNPI 1306515663
Title
Chief Executive Officer
Phone
(626) 765-5308

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 E del Mar Blvd Ste 160
Pasadena, CA 91105-2507

Mailing address

281 E Colorado Blvd # 2395
Pasadena, CA 91101-1903

National Provider Directory

National Provider Directory

Locations

200 E Del Mar Blvd
Ste 160
Pasadena, CA 91105
Phone (323) 391-3226

281 E Colorado Blvd
#2395
Pasadena, CA 91101

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": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1043086945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E COLORADO BLVD # 2395",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 160",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052507",
            "telephone_number": "626-765-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA-ELISE CHILDS THERAPY: A LICENSED CLINICAL SOCIAL WORKER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "JULIA-ELISE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-765-5308",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.