Organization Active NPI

Ephraim Consulting, LLC

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1205393642
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EPHRAIM CONSULTING, LLC
Practice address
38345 30TH St E Ste E5
Palmdale, CA 93550-4984
Phone
(661) 267-9950
Fax
(844) 350-6075
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Dr. Vajezatha Z Payne, LCSWNPI 1558651372
Title
Executive Director
Phone
(310) 200-6573

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

38345 30TH St E Ste E5
Palmdale, CA 93550-4984

Mailing address

2220 E Palmdale Blvd Unit 901588
Palmdale, CA 93590-6574
Phone (310) 200-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518002442 CA Part B Supplier - Clinic/Group Practice 2062821879 Receives reassigned benefits from 1 practitioner
Practice locations: Palmdale, CA

National Provider Directory

National Provider Directory

Locations

2220 E Palmdale Blvd
Unit 901588
Palmdale, CA 93590

38345 30th St E
Ste E5
Palmdale, CA 93550
Phone (310) 200-6573

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1205393642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E PALMDALE BLVD UNIT 901588",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935906574",
            "telephone_number": "310-200-6573",
            "fax_number": "844-350-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38345 30TH ST E STE E5",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504984",
            "telephone_number": "661-267-9950",
            "fax_number": "844-350-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRAIM CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "VAJEZATHA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-200-6573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.