NPIMap

Organization Active NPI

Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Hawthorne, CA
National Provider Identifier
1225535925
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIDI HIRSCH PSYCHIATRIC SERVICE
Practice address
4091 W 139TH St RM 1
Hawthorne, CA 90250-7303
Phone
(310) 676-9423
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dulce M Ruiz
Title
Contracts & Grants Manager
Phone
(310) 751-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4091 W 139TH St RM 1
Hawthorne, CA 90250-7303

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612

Other names 1

  • Didi Hirsch at Jefferson ES Other name

National Provider Directory

National Provider Directory
Tax ID family
Cac Didi Hirsch Suicide Support Services32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

4091 W 139th St
Rm 1
Hawthorne, CA 90250
Phone (310) 676-9423

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": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1225535925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612",
            "fax_number": "310-751-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 W 139TH ST RM 1",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902507303",
            "telephone_number": "310-676-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIDI HIRSCH PSYCHIATRIC SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DULCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACTS & GRANTS MANAGER",
        "authorized_official_telephone_number": "310-751-5442"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Didi Hirsch at Jefferson ES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.