NPIMap

Organization Active NPI

Veterans Administration

  • Adult Mental Health Clinic/Center
  • Sepulveda, CA
National Provider Identifier
1740537299
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
11181 Issued in PR
Legal business name
VETERANS ADMINISTRATION
Practice address
16111 Plummer St
Sepulveda, CA 91343-2036
Phone
(818) 891-7711
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Ms. Martha Stewart Waite, LCSW
Title
Chief, Social Work Services
Phone
(891) 891-7711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 11181 PR Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

16111 Plummer St
Sepulveda, CA 91343-2036

Mailing address

16111 Plummer St
Building 10
Sepulveda, CA 91343-2036
Phone (818) 891-7711

National Provider Directory

National Provider Directory

Locations

16111 Plummer St
Bldg 10
Sepulveda, CA 91343
Phone 8188917711 ext. 31044

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1740537299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST",
            "address_2": "BUILDING 10",
            "city": "SEPULVEDA",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-891-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 PLUMMER ST",
            "city": "SEPULVEDA",
            "state": "CA",
            "postal_code": "913432036",
            "telephone_number": "818-891-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "CHIEF, SOCIAL WORK SERVICES",
        "authorized_official_telephone_number": "891-891-7711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "11181",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sepulveda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.