Lancaster State Prison

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

PSY14366 Issued in CA

Legal business name

LANCASTER STATE PRISON

Practice address

4133 W Avenue J4
44750 60TH Street West
Lancaster, CA 93536-6825

Phone

(661) 729-2000

NPI assigned

Apr 17, 2013

Organization subpart

Yes

Parent organization

CALIFORIA DEPARTMENT OF CORRECTIONSAs reported in NPPES

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

Authorized official

Name

Dr. Christopher Cornell, PSYD

Title

Chief of Mental Health

Phone

(661) 729-2000

Specialties & licenses 1

Addresses

Part of

Lancaster State Prison

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1679916985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 W AVENUE J4",
            "address_2": "44750 60TH STREET WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366825",
            "telephone_number": "661-729-2000",
            "fax_number": "661-729-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 W AVENUE J4",
            "address_2": "44750 60TH STREET WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366825",
            "telephone_number": "661-729-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER STATE PRISON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORIA DEPARTMENT OF CORRECTIONS",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF OF MENTAL HEALTH",
        "authorized_official_telephone_number": "661-729-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "PSY14366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.