Organization Active NPI

Krissie Le-Hermida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chula Vista, CA
National Provider Identifier
1245426782
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LCS15235 Issued in CA
Legal business name
KRISSIE LE-HERMIDA
Practice address
625 3Rd Ave
Chula Vista, CA 91910-5703
Phone
(619) 960-9645
Fax
(619) 476-7566
NPI assigned
Sep 19, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Krissie P Le-Hermida, LCSWNPI 1336195908
Title
Owner
Phone
(619) 960-9645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LCS15235 CA Primary

Addresses

Primary practice location

625 3Rd Ave
Chula Vista, CA 91910-5703

Mailing address

625 3Rd Ave
Chula Vista, CA 91910-5703
Phone (619) 960-9645

National Provider Directory

National Provider Directory

Locations

625 Third Ave
Chula Vista, CA 91910
Phone (619) 421-8212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1245426782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105703",
            "telephone_number": "619-960-9645",
            "fax_number": "619-476-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105703",
            "telephone_number": "619-960-9645",
            "fax_number": "619-476-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISSIE LE-HERMIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "LE-HERMIDA",
        "authorized_official_first_name": "KRISSIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-960-9645",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "LCS15235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.