NPIMap

Adolescent Growth, Inc

Organization Active NPI Psychiatric Residential Treatment Facility · Commerce, CA

NPI 1154536209 · NPPES record last updated Mar 31, 2024

Key facts

NPI
1154536209
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Residential Treatment Facility 323P00000X
Legal business name
ADOLESCENT GROWTH, INC
Practice address
6323 Zindell Ave
Commerce, CA 90040-3830
Phone
(888) 948-9998
Fax
(888) 948-9998
NPI assigned
May 11, 2007
Organization subpart
No

Authorized official

Name
Mr. John Lewis
Title
Chief Financial Officer
Phone
(626) 768-1742

Corporate family (same tax ID) 2

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Adolescent Growth (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Yes
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

6323 Zindell Ave
Commerce, CA 90040-3830

Mailing address

60 N Lotus Ave
Pasadena, CA 91107-3811
Phone (888) 948-9998

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2024.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1154536209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N LOTUS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073811",
            "telephone_number": "888-948-9998",
            "fax_number": "888-751-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 ZINDELL AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900403830",
            "telephone_number": "888-948-9998",
            "fax_number": "888-948-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT GROWTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "626-768-1742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

All providers in Commerce, CA · Psychiatric Residential Treatment Facility in California

Sources for this page

Verify at the official NPI Registry.