NPIMap

Organization Active NPI

Hillsides

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
National Provider Identifier
1477023265
Registry record updated Sep 1, 2021
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
HILLSIDES
Practice address
456 E. Orange Grove Blvd
Suite 140
Pasadena, CA 91104-5235
Phone
(626) 765-6010
Fax
(626) 765-6957
NPI assigned
Dec 5, 2018
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Stacey Roth, LCSW
Title
President & Ceo
Phone
(323) 543-2800

Specialties & licenses 1

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

Addresses

Primary practice location

456 E. Orange Grove Blvd
Suite 140
Pasadena, CA 91104-5235

Mailing address

456 E Orange Grove Blvd Ste 140
Pasadena, CA 91104-5235
Phone (626) 765-6010

Other names 1

  • Hillsides YMO Peer Resource Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Hillsides9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

  • Hillsides
    • Adolescent and Children Mental Health Clinic/Center
    • Irwindale, CA
    • NPI 1083158810
    NPD tax ID
  • Hillsides
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Palmdale, CA
    • NPI 1285289801
    NPD tax ID
  • Hillsides
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Pasadena, CA
    • NPI 1386463099
    NPD tax ID
  • Hillsides
    • Community/Behavioral Health Agency
    • Los Angeles, CA
    • NPI 1619217841
    NPD tax ID
  • Hillsides
    • Mental Illness Community Based Residential Treatment Facility
    • Pasadena, CA
    • NPI 1639613821
    NPD tax ID
  • Hillsides
    • Community/Behavioral Health Agency
    • Pomona, CA
    • NPI 1700270188
    NPD tax ID
  • Hillsides
    • Community/Behavioral Health Agency
    • Los Angeles, CA
    • NPI 1720707987
    NPD tax ID
  • Hillsides
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Commerce, CA
    • NPI 1972047165
    NPD tax ID

Locations

456 E Orange Grove Blvd
Ste 140
Pasadena, CA 91104
Phone (626) 765-6010

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1477023265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E ORANGE GROVE BLVD STE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911045235",
            "telephone_number": "626-765-6010",
            "fax_number": "626-765-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E. ORANGE GROVE BLVD",
            "address_2": "SUITE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911045235",
            "telephone_number": "626-765-6010",
            "fax_number": "626-765-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-543-2800",
        "authorized_official_credential": "LCSW"
    },
    "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": "Hillsides YMO Peer Resource Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hillsides YMO Peer Resource Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.