Organization Active NPI

Los Angeles County Dept of Mental Health

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Commerce, CA
National Provider Identifier
1659696011
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
PSY17390 Issued in CA
Legal business name
LOS ANGELES COUNTY DEPT OF MENTAL HEALTH
Practice address
1500 S McDonnell Ave
Commerce, CA 90040-5623
Phone
(323) 981-4357
Fax
(323) 881-6733
NPI assigned
Mar 29, 2010
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Lori Willis, PH.D.
Title
Clinical Division Chief
Phone
(323) 981-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X PSY17390 CA Primary

Addresses

Primary practice location

1500 S McDonnell Ave
Commerce, CA 90040-5623

Mailing address

1500 S McDonnell Ave
Commerce, CA 90040-5623
Phone (323) 981-4357

National Provider Directory

National Provider Directory

Locations

1500 S McDonnell Ave
Commerce, CA 90040
Phone (323) 981-4301

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1659696011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MCDONNELL AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900405623",
            "telephone_number": "323-981-4357",
            "fax_number": "323-881-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MCDONNELL AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900405623",
            "telephone_number": "323-981-4357",
            "fax_number": "323-881-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES COUNTY DEPT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CLINICAL DIVISION CHIEF",
        "authorized_official_telephone_number": "323-981-4308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "PSY17390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.