NPIMap

Organization Active NPI

Therapeutic Services Healing and Growth Inc

  • Adolescent and Children Mental Health Clinic/Center
  • San Fernando, CA
National Provider Identifier
1114686839
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THERAPEUTIC SERVICES HEALING AND GROWTH INC
Practice address
330 N Maclay Ave Ste 206
San Fernando, CA 91340-2955
Phone
(818) 351-6717
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Genesis EspinozaNPI 1306203211
Title
Ceo
Phone
(818) 472-7020

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

330 N Maclay Ave Ste 206
San Fernando, CA 91340-2955

Mailing address

330 N Maclay Ave Ste 206
San Fernando, CA 91340-2955
Phone (818) 351-6717

National Provider Directory

National Provider Directory

Locations

330 N Maclay Ave
Ste 206
San Fernando, CA 91340
Phone (818) 351-6717

Practitioners & affiliated clinicians

Practitioners 4

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": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1114686839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MACLAY AVE STE 206",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402955",
            "telephone_number": "818-351-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MACLAY AVE STE 206",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402955",
            "telephone_number": "818-351-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SERVICES HEALING AND GROWTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "GENESIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-472-7020"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.