Institute for Maximum Human Potential

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INSTITUTE FOR MAXIMUM HUMAN POTENTIAL

Practice address

9624 Compton Ave
Los Angeles, CA 90002-2333

Phone

(323) 567-9883

Fax

(323) 567-9885

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Delores Brown

Title

President

Phone

(323) 567-9883

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1487898664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72059",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900020059",
            "telephone_number": "323-567-9883",
            "fax_number": "323-567-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022333",
            "telephone_number": "323-567-9883",
            "fax_number": "323-567-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR MAXIMUM HUMAN POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-567-9883",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.