NPIMap

Organization Active NPI

DMH

  • Psychiatric Hospital
  • La Puente, CA
National Provider Identifier
1114335742
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
PT35293 Issued in CA
Legal business name
DMH
Practice address
16213 Fellowship St
La Puente, CA 91744-1327
Phone
(626) 643-1305
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Brenda Minnette Clarkson
Title
Psychiatric Technician
Phone
(626) 643-1305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X PT35293 CA Primary

Addresses

Primary practice location

16213 Fellowship St
La Puente, CA 91744-1327

Mailing address

16213 Fellowship
La Puente, CA 91744
Phone (626) 643-1305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1114335742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16213 FELLOWSHIP",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "91744",
            "telephone_number": "626-643-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16213 FELLOWSHIP ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441327",
            "telephone_number": "626-643-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MINNETTE",
        "authorized_official_title_or_position": "PSYCHIATRIC TECHNICIAN",
        "authorized_official_telephone_number": "626-643-1305"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "PT35293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.