Hillsides

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HILLSIDES

Practice address

1020 E Palmdale Blvd Ste 200a
Palmdale, CA 93550-4756

Phone

(661) 678-1914

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Stacey Roth, MSW

Title

Chief Executive Officer

Phone

(323) 543-2800

Specialties & licenses 1

Addresses

Other names 1

• Hillsides FRC Palmdale Other name

Tax ID family

Hillsides9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

• Hillsides

  • Adolescent and Children Mental Health Clinic/Center
  • Irwindale, CA
  • NPI 1083158810
  NPD tax ID
• Hillsides

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pasadena, CA
  • NPI 1386463099
  NPD tax ID
• Hillsides

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1477023265
  NPD tax ID
• Hillsides

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1619217841
  NPD tax ID
• Hillsides

  • Mental Illness Community Based Residential Treatment Facility
  • Pasadena, CA
  • NPI 1639613821
  NPD tax ID
• Hillsides

  • Community/Behavioral Health Agency
  • Pomona, CA
  • NPI 1700270188
  NPD tax ID
• Hillsides

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1720707987
  NPD tax ID
• Hillsides

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Commerce, CA
  • NPI 1972047165
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eboni N. Williams

  • Rehabilitation Practitioner
  • Palmdale, CA
  • NPI 1104401942
  NPD
• Darrell Antonio Jones Jr.

  • Professional Counselor
  • Palmdale, CA
  • NPI 1215447305
  NPD (past)
• Joanna Alejandra Torres, BA

  • Community Health Worker
  • Lancaster, CA
  • NPI 1093330896
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1285289801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E PALMDALE BLVD STE 200A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E PALMDALE BLVD STE 200A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504756",
            "telephone_number": "661-678-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-543-2800",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsides FRC Palmdale",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hillsides FRC Palmdale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rodnique Sophia Hicks
• Sonia Hicks
• High Desert Hemodialysis, Inc.
• Brandee Alexandra Hill, M.A.
• Deborah Kay Hills-Egemo, LMFT
• Glenn Hiura, O.D.
• Hsiao Tung Ho, RPH
• Jennifer Ho, OD
• My Hoang
• Kimberly Hoare

• Mental Health Clinic/Center (Including Community Mental Health Center) in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.