Active NPI
KLM Behavorial Health
- Community/Behavioral Health Agency
- Pasadena, CA
National Provider Identifier
1568835296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 091947 V
- Legal business name
- KLM BEHAVORIAL HEALTH
- Practice address
- 222 S Oak Ave
Pasadena, CA 91107-4033 - Phone
- (626) 584-9502
- NPI assigned
- Nov 3, 2015
- Organization subpart
- Yes
- Parent organization
- DEDICATO TREATMENT CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keith Lamont Marshall, PSY.D, C.A.T.C V
- Title
- Ceo/Certified Addiction Treatment
- Phone
- (626) 644-8857
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 091947 V | CA | Primary |
Addresses
Primary practice location
222 S Oak Ave
Pasadena, CA 91107-4033
Mailing address
222 S Oak Ave
Pasadena, CA 91107-4033
Phone (626) 584-9502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760753867 | Other | CA | INSURANCE CARRIERS |
| 1760753867 | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- KLM Behavorial Health
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Pasadena, CA
- NPI 1760753867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446508800000",
"number": "1568835296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S OAK AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074033",
"telephone_number": "626-584-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S OAK AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074033",
"telephone_number": "626-584-9502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLM BEHAVORIAL HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DEDICATO TREATMENT CENTER INC",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-03",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "LAMONT",
"authorized_official_title_or_position": "CEO/CERTIFIED ADDICTION TREATMENT",
"authorized_official_telephone_number": "626-644-8857",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D, C.A.T.C V"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "091947 V",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE CARRIERS",
"identifier": "1760753867",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760753867",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.