NPIMap

Organization Active NPI

Tessie Cleveland Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • California, CA
National Provider Identifier
1649924192
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TESSIE CLEVELAND COMMUNITY SERVICES
Practice address
9621 S. Vermont Avenue
Los Angeles
California, CA 90044-3217
Phone
(323) 586-7333
Fax
(323) 588-5622
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Ms. Shronda Givens, LCSW
Title
Ceo
Phone
(323) 586-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9621 S. Vermont Avenue
Los Angeles
California, CA 90044-3217

Mailing address

8019 Compton Ave
Los Angeles, CA 90001-3409
Phone (323) 586-7333

National Provider Directory

National Provider Directory
Tax ID family
Tessie Cleveland Comm Serv7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8019 Compton Ave
Los Angeles, CA 90001
Phone 3235867333 ext. 7008

9621 S Vermont Ave
Los Angeles, CA 90044

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1649924192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013409",
            "telephone_number": "323-586-7333",
            "fax_number": "323-588-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 S. VERMONT AVENUE",
            "address_2": "LOS ANGELES",
            "city": "CALIFORNIA",
            "state": "CA",
            "postal_code": "900443217",
            "telephone_number": "323-586-7333",
            "fax_number": "323-588-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSIE CLEVELAND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "SHRONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-586-7333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.