NPIMap

Organization Active NPI

Progressions TLC LLC

  • Substance Abuse Rehabilitation Facility
  • Tarzana, CA
National Provider Identifier
1689916827
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190768AP Issued in CA
Legal business name
PROGRESSIONS TLC LLC
Practice address
5510 Wilbur Ave
Tarzana, CA 91356-3219
Phone
(818) 324-2507
Fax
(888) 310-3278
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mrs. Rhonda Lee Kirkpatrick, RS, RW
Title
Executive Director
Phone
(818) 324-2507

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 190768AP CA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 190768AP CA
Substance Abuse Rehabilitation Facility 324500000X 190768AP CA Primary

Addresses

Primary practice location

5510 Wilbur Ave
Tarzana, CA 91356-3219

Mailing address

PO Box 6032
Woodland Hills, CA 91365-6032
Phone (818) 324-2507

Other identifiers 1

IdentifierTypeStateIssuer
190768APOtherCACALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS LICENSE AND CERTIFICATION

Other names 1

  • Progressions TLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1689916827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6032",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913656032",
            "telephone_number": "818-324-2507",
            "fax_number": "888-310-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 WILBUR AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563219",
            "telephone_number": "818-324-2507",
            "fax_number": "888-310-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIONS TLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "818-324-2507",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RS, RW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190768AP",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190768AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190768AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS LICENSE AND CERTIFICATION",
            "identifier": "190768AP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressions TLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.