Los Angeles Family Institute

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

BA33452 Issued in CA

Legal business name

LOS ANGELES FAMILY INSTITUTE

Practice address

22287 Mulholland Hwy # 136
Calabasas, CA 91302-5157

Phone

(818) 635-9380

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher James Bathum, PHD

Title

Chief Executive Officer

Phone

(818) 635-9380

Specialties & licenses 1

Addresses

Tax ID family

Kipling Treatment Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kipling Treatment Group

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1396025235
  NPD tax ID

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1053666024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY # 136",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157",
            "telephone_number": "818-635-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY # 136",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157",
            "telephone_number": "818-635-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES FAMILY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "BATHUM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-635-9380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "BA33452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Lizano, LCSW
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• Alexandra Lotz
• Jeffrey Lough, MS
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• Addiction (Substance Use Disorder) Psychologist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Addiction (Substance Use Disorder) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.