Active NPI
Ephraim Consulting, LLC
- Clinical Social Worker
- Palmdale, CA
National Provider Identifier
1205393642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vajezatha Z Payne, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | |||
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Palmdale, CA
- NPI 1558651372
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.