Organization Active NPI

Kheper Life Enrichment Institute

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1740694488
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY 15637 Issued in CA
Legal business name
KHEPER LIFE ENRICHMENT INSTITUTE
Practice address
3406 W 75TH St
Los Angeles, CA 90043-4926
Phone
(323) 750-7550
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Mrs. Erica Cheryl Byrd, MS, MFTI
Title
Director, Therapist
Phone
(323) 750-7550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X PSY 15637 CA
Community/Behavioral Health Agency 251S00000X PSY 15637 CA Primary

Addresses

Primary practice location

3406 W 75TH St
Los Angeles, CA 90043-4926

Mailing address

3406 W 75TH St
Los Angeles, CA 90043-4926
Phone (323) 750-7550

National Provider Directory

National Provider Directory

Locations

3406 W 75th St
Los Angeles, CA 90043
Phone (213) 509-3633

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1740694488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 W 75TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434926",
            "telephone_number": "323-750-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 W 75TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434926",
            "telephone_number": "323-750-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHEPER LIFE ENRICHMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR, THERAPIST",
        "authorized_official_telephone_number": "323-750-7550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, MFTI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "PSY 15637",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY 15637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.