NPIMap

Organization Active NPI

California State University Northridge

  • Mental Illness Community Based Residential Treatment Facility
  • Lancaster, CA
National Provider Identifier
1144698564
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CALIFORNIA STATE UNIVERSITY NORTHRIDGE
Practice address
5300 W Avenue I
Lancaster, CA 93536-8312
Phone
(661) 940-4122
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Miss Tiffany Brooks, LCSW
Title
Field Consultant Liaison SW Dept
Phone
(310) 351-1809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5300 W Avenue I
Lancaster, CA 93536-8312

Mailing address

18111 Nordhoff St
Northridge, CA 91330-8226
Phone (818) 677-1200

National Provider Directory

National Provider Directory
Tax ID family
California State University Northridge Klotz Student Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5300 W Avenue I
Lancaster, CA 93536
Phone (661) 940-4025

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1144698564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308226",
            "telephone_number": "818-677-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368312",
            "telephone_number": "661-940-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY NORTHRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "FIELD CONSULTANT LIAISON SW DEPT",
        "authorized_official_telephone_number": "310-351-1809",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.