NPIMap

Organization Active NPI

San Fernando Valley Community Mental Health Center, Inc.

  • Psychiatry Physician
  • North Hollywood, CA
National Provider Identifier
1386775237
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0591483 Issued in CA
Legal business name
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
6400 Laurel Canyon Blvd
Suite 500
North Hollywood, CA 91606-1571
Phone
(818) 901-4879
Fax
(818) 997-1370
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Timothy Ryder
Title
President
Phone
(818) 901-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X D0591483 CA Primary

Addresses

Primary practice location

6400 Laurel Canyon Blvd
Suite 500
North Hollywood, CA 91606-1571

Mailing address

16360 Roscoe Blvd
Suite 200
Van Nuys, CA 91406-1219
Phone (818) 901-4830

Other identifiers 1

IdentifierTypeStateIssuer
000007622OtherCAMEDICAL PROVIDER

Other names 1

  • SFVCMHC Juvenile Justice Programs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Fernando Valley Community Mental Health Center Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1386775237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 ROSCOE BLVD",
            "address_2": "SUITE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061219",
            "telephone_number": "818-901-4830",
            "fax_number": "818-785-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD",
            "address_2": "SUITE 500",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061571",
            "telephone_number": "818-901-4879",
            "fax_number": "818-997-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-901-4830"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "D0591483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "000007622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SFVCMHC Juvenile Justice Programs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SFVCMHC Juvenile Justice Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.