DMH Hollywood Mental Health Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RN 429150 Issued in CA

Legal business name

DMH HOLLYWOOD MENTAL HEALTH CLINIC

Practice address

1224 Vine St
Los Angeles, CA 90038-1612

Phone

(323) 769-6100

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Bill Russell

Title

Mental Health Counselor RN

Phone

(323) 769-6100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447337209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 E 118TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592818",
            "telephone_number": "323-564-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 VINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381612",
            "telephone_number": "323-769-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMH HOLLYWOOD MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR RN",
        "authorized_official_telephone_number": "323-769-6100"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "RN 429150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• 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.