NPIMap

Organization Active NPI

Behavioral Health Services South Bay Family Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Gardena, CA
National Provider Identifier
1275877151
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RI-P0804221503 Issued in CA
Legal business name
BEHAVIORAL HEALTH SERVICES SOUTH BAY FAMILY RECOVERY CENTER
Practice address
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone
(310) 679-9031
Fax
(310) 679-9034
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Mrs. Debbie Levan, MPH, CCEP
Title
Corporate Compliance Officer
Phone
(310) 679-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X RI-P0804221503 CA Primary

Addresses

Primary practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Mailing address

15519 Crenshaw Blvd.
Gardena, CA 90249-4597
Phone (310) 679-9031

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1275877151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD.",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494597",
            "telephone_number": "310-679-9031",
            "fax_number": "310-679-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494525",
            "telephone_number": "310-679-9031",
            "fax_number": "310-679-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES SOUTH BAY FAMILY RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "LEVAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, CCEP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-P0804221503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.