Active NPI
Baltz Psychiatry Nursing, Inc.
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1578896197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP19710
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.