So Cal Child Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

IMF79358 Issued in CA

Legal business name

SO CAL CHILD THERAPY

Practice address

19720 Ventura Blvd Ste C
Woodland Hills, CA 91364-2676

Phone

(818) 804-0322

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Beth Jakubanis, LCSW

Title

Director

Phone

(818) 804-0322

Specialties & licenses 1

Addresses

Tax ID family

So Cal Child Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• So. Cal. Child Therapy

  • Clinical Social Worker
  • Woodland Hills, CA
  • NPI 1770975914
  NPD tax ID

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1730556986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642676",
            "telephone_number": "818-804-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642676",
            "telephone_number": "818-804-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL CHILD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "JAKUBANIS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-804-0322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "IMF79358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Snyder
• Jennifer Lynn Snyder
• Melissa Rabinoff Snyder, LCSW
• Richard N. Snyder, MD
• Sharon Joyce Snyder, MA
• So. Cal. Child Therapy
• Alicia Soares-McLean
• Sober College
• Sober College Environments, LLC
• Sober College Environments, LLC

• Community/Behavioral Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.