Active NPI
The Camden Center, Inc.
- Adult Mental Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1487079455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- THE CAMDEN CENTER, INC.
- Practice address
- 10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749 - Phone
- (844) 422-6336
- Fax
- (888) 887-2955
- NPI assigned
- Feb 26, 2014
- 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
- Dr. Jason Eric Schiffman, MD, MA, MBA
- Title
- Executive Director
- Phone
- (844) 422-6336
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MFC49040 | CA | |
| Mental Health Counselor | 101YM0800X | MFC49040 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY25565 | CA | |
| Clinical Psychologist | 103TC0700X | PSY25565 | CA | |
| Clinical Social Worker | 1041C0700X | LCS21488 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC48114 | CA | |
| Nutrition Education Nutritionist | 133NN1002X | AC11797 | CA | |
| Acupuncturist | 171100000X | AC11797 | CA | |
| Case Manager/Care Coordinator | 171M00000X | LCS21488 | CA | |
| Psychiatry Physician | 2084P0800X | A126101 | CA | |
| Addiction Psychiatry Physician | 2084P0802X | A112538 | CA | |
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X | A112538 | CA | |
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749
Mailing address
10780 Santa Monica Blvd
Suite 105
Los Angeles, CA 90025-4749
Phone (844) 422-6336
Other names 1
- The Camden Center
National Provider Directory
National Provider Directory- Tax ID family
- The Camden Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1548655418
Locations
10780 Santa Monica Blvd
Ste 105
Los Angeles, CA 90025
Phone (424) 521-1066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555632000000",
"number": "1487079455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254749",
"telephone_number": "844-422-6336",
"fax_number": "888-887-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254749",
"telephone_number": "844-422-6336",
"fax_number": "888-887-2955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CAMDEN CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-26",
"last_updated": "2019-04-19",
"status": "A",
"authorized_official_last_name": "SCHIFFMAN",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "844-422-6336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MA, MBA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "MFC49040",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC49040",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY25565",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25565",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21488",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC48114",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "AC11797",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11797",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "LCS21488",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A126101",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "A112538",
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "A112538",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Camden Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Camden Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.