Organization Active NPI

Golden State Neuroplastics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monrovia, CA
National Provider Identifier
1417332545
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PSY24447 Issued in CA
Legal business name
GOLDEN STATE NEUROPLASTICS
Practice address
757 Ridgeside Dr
Monrovia, CA 91016-1721
Phone
(213) 260-0605
Fax
(888) 789-9773
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dr. Christopher Bartlett Franklin, PSY.D.NPI 1184706681
Title
Ceo
Phone
(310) 863-6199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PSY24447 CA Primary

Addresses

Primary practice location

757 Ridgeside Dr
Monrovia, CA 91016-1721

Mailing address

1910 West Farlington
West Covina, CA 91790
Phone (310) 863-6199

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1417332545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 WEST FARLINGTON",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "310-863-6199",
            "fax_number": "888-789-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 RIDGESIDE DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910161721",
            "telephone_number": "213-260-0605",
            "fax_number": "888-789-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE NEUROPLASTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BARTLETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-863-6199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY24447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.