NPIMap

Organization Active NPI

Department of Mental Health

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1467527747
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11812 Issued in CA
Legal business name
DEPARTMENT OF MENTAL HEALTH
Practice address
1720 E 120TH St
Room 1099
Los Angeles, CA 90059-3052
Phone
(310) 668-5059
Fax
(310) 223-0914
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ms. Suesan Coleman, MASTERS DEGREE
Title
Psychiatric Social Worker
Phone
(310) 668-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11812 CA Primary

Addresses

Primary practice location

1720 E 120TH St
Room 1099
Los Angeles, CA 90059-3052

Mailing address

1720 E 120TH St
Los Angeles, CA 90059-3052
Phone (310) 668-5059

National Provider Directory

National Provider Directory

Locations

1720 E 120th St
Los Angeles, CA 90059
Phone (310) 668-4272

1720 E 120th St
Rm 1099
Los Angeles, CA 90059
Phone (310) 668-5059

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1467527747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593052",
            "telephone_number": "310-668-5059",
            "fax_number": "310-223-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 120TH ST",
            "address_2": "ROOM 1099",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593052",
            "telephone_number": "310-668-5059",
            "fax_number": "310-223-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SUESAN",
        "authorized_official_title_or_position": "PSYCHIATRIC SOCIAL WORKER",
        "authorized_official_telephone_number": "310-668-5059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTERS DEGREE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.