NPIMap

Organization Active NPI

The Endzone, a Marriage and Family Therapy Corporation

Doing business as Ellie Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, CA
National Provider Identifier
1437831799
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE ENDZONE, A MARRIAGE AND FAMILY THERAPY CORPORATION
Doing business as
Ellie Mental Health
Practice address
700 N Central Ave Ste 340
Glendale, CA 91203-4238
Phone
(818) 275-8411
NPI assigned
Aug 4, 2023
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Dr. Cynthia E Stern, PHD, LMFTNPI 1891152070
Title
Owner/LMFT
Phone
(818) 275-8411

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 Primary

Addresses

Primary practice location

700 N Central Ave Ste 340
Glendale, CA 91203-4238

Mailing address

9018 Balboa Blvd # 605
Northridge, CA 91325-2610
Phone (818) 275-8411

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229003132 CA Part B Supplier - Clinic/Group Practice 3375988397 Receives reassigned benefits from 19 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

700 N Central Ave
Ste 340
Glendale, CA 91203
Phone (818) 275-8411

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1437831799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 BALBOA BLVD # 605",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252610",
            "telephone_number": "818-275-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N CENTRAL AVE STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034238",
            "telephone_number": "818-275-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDZONE, A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/LMFT",
        "authorized_official_telephone_number": "818-275-8411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "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": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.