Organization Active NPI

Baltz Psychiatry Nursing, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1578896197
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP19710 Issued in CA
Legal business name
BALTZ PSYCHIATRY NURSING, INC.
Practice address
8060 Melrose Ave Ste 200
Los Angeles, CA 90046-7037
Phone
(323) 391-4830
NPI assigned
Sep 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Dr. Gerald M Baltz, DNP
Title
Ceo
Phone
(323) 391-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X NP19710 CA Primary

Addresses

Primary practice location

8060 Melrose Ave Ste 200
Los Angeles, CA 90046-7037

Mailing address

1412 3/4 N Hayworth Ave
West Hollywood, CA 90046-3809
Phone (314) 604-5375

Other names 1

  • MelrosePsych Doing business as

National Provider Directory

National Provider Directory

Locations

1414 Milton Rd
Alton, IL 62002
Phone (618) 465-1351

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1578896197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 3/4 N HAYWORTH AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900463809",
            "telephone_number": "314-604-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MELROSE AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467037",
            "telephone_number": "323-391-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTZ PSYCHIATRY NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "BALTZ",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-391-4830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP19710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MelrosePsych",
            "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 Jun 1, 2020; 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.