Organization Active NPI

Starr Child Foundation

  • Mental Health Counselor
  • Santa Monica, CA
National Provider Identifier
1376249367
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STARR CHILD FOUNDATION
Practice address
100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602
Phone
(310) 917-1054
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Mr. Jamil Al-Amin Ward
Title
President
Phone
(310) 917-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602

Mailing address

100 Wilshire Blvd Ste 700
Santa Monica, CA 90401-3602
Phone (310) 917-1054

Other identifiers 1

IdentifierTypeStateIssuer
1144936014MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1376249367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD STE 700",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013602",
            "telephone_number": "310-917-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD STE 700",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013602",
            "telephone_number": "310-917-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR CHILD FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_middle_name": "AL-AMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-917-1054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144936014",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.