NPIMap

Organization Active NPI

Prototypes Centers for Innovation in Health, Mental Health and Social

  • Adult Mental Health Clinic/Center
  • Pasadena, CA
National Provider Identifier
1134421365
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Practice address
40 N Altadena Dr
Suite 1B
Pasadena, CA 91107-3386
Phone
(626) 792-2812
Fax
(626) 356-4438
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Cassandra Loch, LCSW, MBA
Title
President, Ceo
Phone
(213) 542-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

40 N Altadena Dr
Suite 1B
Pasadena, CA 91107-3386

Mailing address

1000 N Alameda St
Suite 390
Los Angeles, CA 90012-1804
Phone (213) 542-3838

Other identifiers 1

IdentifierTypeStateIssuer
7370VOtherCALOS ANGELES COUNTY DMH

Other names 1

  • Prototypes Centers for Innovation in Health, Mental Health and Social Other name

National Provider Directory

National Provider Directory
Tax ID family
Prototypes Womens Center Outpatient10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1134421365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N ALAMEDA ST",
            "address_2": "SUITE 390",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121804",
            "telephone_number": "213-542-3838",
            "fax_number": "213-225-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N ALTADENA DR",
            "address_2": "SUITE 1B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073386",
            "telephone_number": "626-792-2812",
            "fax_number": "626-356-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "LOCH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "213-542-3838",
        "authorized_official_credential": "LCSW, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOS ANGELES COUNTY DMH",
            "identifier": "7370V",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prototypes Centers for Innovation in Health, Mental Health and Social",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.