Organization Active NPI

National Council on Alcoholism & Drug Dependence of the San Fernando V

  • Community/Behavioral Health Agency
  • Van Nuys, CA
National Provider Identifier
1053221309
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE OF THE SAN FERNANDO V
Practice address
14407 Hamlin St Ste B
Van Nuys, CA 91401-6200
Phone
(818) 997-0414
Fax
(818) 785-3461
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Karen G Marder, CADC IINPI 1508282971
Title
Director of Contracts & Qa
Phone
(818) 300-5540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Cognitive & Behavioral Psychologist 103TB0200X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14407 Hamlin St Ste B
Van Nuys, CA 91401-6200

Mailing address

6166 Vesper Ave
Van Nuys, CA 91411-2851
Phone (818) 997-0414

National Provider Directory

National Provider Directory
Tax ID family
National Council on Alcoholism Drug Dependence of the San Fernando V4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, 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": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1053221309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 VESPER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112851",
            "telephone_number": "818-997-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14407 HAMLIN ST STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016200",
            "telephone_number": "818-997-0414",
            "fax_number": "818-785-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE OF THE SAN FERNANDO V",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTS & QA",
        "authorized_official_telephone_number": "818-300-5540",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Sep 9, 2026; 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.