NPIMap

Organization Active NPI

Skylit Clinical Behavior Agency, Inc.

  • Community/Behavioral Health Agency
  • Pasadena, CA
National Provider Identifier
1215311709
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CTC - 150041015 Issued in CA
Legal business name
SKYLIT CLINICAL BEHAVIOR AGENCY, INC.
Practice address
155 N Lake Ave
8TH Floor
Pasadena, CA 91101-1849
Phone
(626) 993-6760
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Richard Burns
Title
Co-Owner/Executive Coordinator
Phone
(626) 993-6760

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CTC - 150041015 CA
Community/Behavioral Health Agency 251S00000X CTC - 150041015 CA Primary
Early Intervention Provider Agency 252Y00000X CTC - 150041015 CA
In Home Supportive Care Agency 253Z00000X CTC - 150041015 CA

Addresses

Primary practice location

155 N Lake Ave
8TH Floor
Pasadena, CA 91101-1849

Mailing address

155 N Lake Ave
8TH Floor
Pasadena, CA 91101-1849

Other names 1

  • Skylit CBA, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1215311709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE",
            "address_2": "8TH FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE",
            "address_2": "8TH FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011849",
            "telephone_number": "626-993-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIT CLINICAL BEHAVIOR AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CO-OWNER/EXECUTIVE COORDINATOR",
        "authorized_official_telephone_number": "626-993-6760"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "CTC - 150041015",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "CTC - 150041015",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "CTC - 150041015",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "CTC - 150041015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skylit CBA, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 14, 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.