NPIMap

Organization Active NPI

Mid Valley Youth Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Van Nuys, CA
National Provider Identifier
1326173584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
37870 Issued in CA
Legal business name
MID VALLEY YOUTH CENTER
Practice address
15446 Sherman Way
330
Van Nuys, CA 91406-4259
Phone
(818) 988-6544
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angeliki Economou, MFTI
Title
Psychotherapist
Phone
(818) 904-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 37870 CA Primary

Addresses

Primary practice location

15446 Sherman Way
330
Van Nuys, CA 91406-4259

Mailing address

15446 Sherman Way
330
Van Nuys, CA 91406-4259
Phone (818) 988-6544

National Provider Directory

National Provider Directory
Tax ID family
Kids First Foundation18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326173584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 SHERMAN WAY",
            "address_2": "330",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064259",
            "telephone_number": "818-988-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 SHERMAN WAY",
            "address_2": "330",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064259",
            "telephone_number": "818-988-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECONOMOU",
        "authorized_official_first_name": "ANGELIKI",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "818-904-0707",
        "authorized_official_credential": "MFTI"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "37870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.