Active NPI
Psi Health Partners PC
Doing business as Trip Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
National Provider Identifier
1457144180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PSI HEALTH PARTNERS PC
- Doing business as
- Trip Clinic
- Practice address
- 522 N Larchmont Blvd
Los Angeles, CA 90004-1306 - Phone
- (213) 973-7512
- Fax
- (213) 608-0121
- NPI assigned
- May 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Balliett, LMFT
- Title
- Chief Clinical & Operations Officer
- Phone
- (323) 456-3033
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Registered Nurse | 163W00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| Psychiatry Physician | 2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
522 N Larchmont Blvd
Los Angeles, CA 90004-1306
Mailing address
522 N Larchmont Blvd
Los Angeles, CA 90004-1306
Phone (213) 973-7512
Other practice location 1
1301 20th St Ste 540
Santa Monica, CA 90404-2118
Phone (310) 341-2882
Other names 1
- Trip Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2325757 | Psi Health Partners, PC Dba Trip Clinic | Certificate of waiver | Jun 18, 2027 |
| 05D2326495 | Psi Health Partners, PC Dba Trip Clinic | Certificate of waiver | Jul 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748217600000",
"number": "1457144180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900041306",
"telephone_number": "213-973-7512",
"fax_number": "213-608-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900041306",
"telephone_number": "213-973-7512",
"fax_number": "213-608-0121"
}
],
"practiceLocations": [
{
"address_1": "1301 20th St Ste 540",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042118",
"country_code": "US",
"telephone_number": "310-341-2882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PSI HEALTH PARTNERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A",
"authorized_official_last_name": "BALLIETT",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "CHIEF CLINICAL & OPERATIONS OFFICER",
"authorized_official_telephone_number": "323-456-3033",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trip Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Arthur Edward Pryor Jr., MD
- Keli Nicole Pryor
- Sara Pryor
- Jason J Prystowsky, MD
- PS Health Corporation
- Kari Psomas
- Psychiatrists Global Training Network
- Psychological Care and Healing Treatment Center
- Psychology and Health Today Corporation
- Psychotherapy & Psychoeducational Assessments (Psychotherapy & Psychoeducational Assessment Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.