Organization Active NPI

Triple S Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Woodland Hills, CA
National Provider Identifier
1548049687
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRIPLE S BEHAVIORAL HEALTH LLC
Doing business as
Profound Healing Centers
Practice address
23140 Gonzales Dr
Woodland Hills, CA 91367-6114
Phone
(818) 770-1839
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Cara Sandweiss
Title
Ceo
Phone
(818) 770-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

23140 Gonzales Dr
Woodland Hills, CA 91367-6114

Mailing address

21300 Victory Blvd Ste 800
Woodland Hills, CA 91367-7727
Phone (818) 770-1839

Other names 1

  • Profound Healing Centers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2307863Profound Healing Centers23140 Gonzales Drive, Woodland Hills, CA 91367Certificate of waiverJul 15, 2026

National Provider Directory

National Provider Directory
Tax ID family
Profound Healing Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

21300 Victory Blvd
Ste 540
Woodland Hills, CA 91367

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1548049687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 VICTORY BLVD STE 800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677727",
            "telephone_number": "818-770-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 GONZALES DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676114",
            "telephone_number": "818-770-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE S BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SANDWEISS",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-770-1839"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Profound Healing Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Profound Healing Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.

Verify at the official NPI Registry.