Active NPI
Shields for Families
- Community/Behavioral Health Agency
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHIELDS FOR FAMILIES
- Practice address
- 11705 Deputy Yamamoto PL Ste a
Lynwood, CA 90262-4031 - Phone
- (323) 357-6930
- Fax
- (323) 569-1979
- NPI assigned
- Jan 15, 2013
- Last updated
- Oct 28, 2025
- 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
- Kathryn Icenhower, PHD
- Title
- Chief Executive Officer
- Phone
- (323) 242-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
11705 Deputy Yamamoto PL Ste a
Lynwood, CA 90262-4031
Mailing address
11601 S Western Ave
Los Angeles, CA 90047-5006
Phone (323) 242-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1336378009
O20110216000397
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1659506145
O20110216000397
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, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1639202492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1578800280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475006",
"telephone_number": "323-242-5000",
"fax_number": "323-242-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11705 DEPUTY YAMAMOTO PL STE A",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624031",
"telephone_number": "323-357-6930",
"fax_number": "323-569-1979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIELDS FOR FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "ICENHOWER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-242-5000",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.