NPIMap

Organization Active NPI

San Fernando Valley Community Mental Health Center, Inc.

Doing business as Zane Grey Continuation High School

  • Psychiatry Physician
  • Reseda, CA
National Provider Identifier
1063219657
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Doing business as
Zane Grey Continuation High School
Practice address
18230 Kittridge St
Reseda, CA 91335-6121
Phone
(818) 901-4830
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Timothy Ryder
Title
President
Phone
(818) 901-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

18230 Kittridge St
Reseda, CA 91335-6121

Mailing address

16360 Roscoe Blvd Ste 200
Van Nuys, CA 91406-1213
Phone (818) 901-4830

Other names 1

  • ZANE GREY CONTINUATION HIGH SCHOOL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Fernando Valley Community Mental Health Center Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

18230 Kittridge St
Reseda, CA 91335

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1063219657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 ROSCOE BLVD STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061213",
            "telephone_number": "818-901-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 KITTRIDGE ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356121",
            "telephone_number": "818-901-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-901-4830"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZANE GREY CONTINUATION HIGH SCHOOL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.