Organization Active NPI

Aniya Jay Inc

Doing business as Emerge Psychotherapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Madre, CA
National Provider Identifier
1649930967
Registry record updated Dec 28, 2021
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
ANIYA JAY INC
Doing business as
Emerge Psychotherapy Services
Practice address
61 S Baldwin Ave # 1475
Sierra Madre, CA 91024-2553
Phone
(626) 625-5234
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Latasha Dixon, LMFTNPI 1588781967
Title
Ceo/Clinical Director
Phone
(626) 625-5234

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

61 S Baldwin Ave # 1475
Sierra Madre, CA 91024-2553

Mailing address

61 S Baldwin Ave # 1475
Sierra Madre, CA 91024-2553
Phone (626) 625-5234

Other names 1

  • Emerge Psychotherapy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1649930967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 S BALDWIN AVE # 1475",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242553",
            "telephone_number": "626-625-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S BALDWIN AVE # 1475",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242553",
            "telephone_number": "626-625-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIYA JAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-625-5234",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerge Psychotherapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Madre, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.