Active NPI
Chidos LLC
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1548081722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CHIDOS LLC
- Practice address
- 11900 Avalon Blvd Ste 100
Los Angeles, CA 90061-2867 - Phone
- (424) 468-2194
- NPI assigned
- Oct 21, 2024
- 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
- Doris Hayes, PMHNP
- Title
- Owner
- Phone
- (424) 468-2194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11900 Avalon Blvd Ste 100
Los Angeles, CA 90061-2867
Mailing address
PO Box 4074
Inglewood, CA 90309-4074
Other names 1
- Hopeful Minds Mental Health Clinic LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1770272429
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732665600000",
"number": "1548081722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4074",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903094074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 AVALON BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900612867",
"telephone_number": "424-468-2194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIDOS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-21",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "424-468-2194",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hopeful Minds Mental Health Clinic LLC",
"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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.