NPIMap

Organization Active NPI

Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Glendale, CA
National Provider Identifier
1740875962
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIDI HIRSCH PSYCHIATRIC SERVICE
Practice address
1440 E Broadway
Glendale, CA 91205-1503
Phone
(818) 242-3161
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Dulce M Ruiz
Title
Contracts and Grants Manager
Phone
(310) 751-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1440 E Broadway
Glendale, CA 91205-1503

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612

Other names 1

  • Didi Hirsch at Glendale High School Other name

National Provider Directory

National Provider Directory
Tax ID family
Cac Didi Hirsch Suicide Support Services32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

1440 E Broadway
Glendale, CA 91205
Phone (818) 242-3161

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1740875962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612",
            "fax_number": "310-751-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051503",
            "telephone_number": "818-242-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIDI HIRSCH PSYCHIATRIC SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DULCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTRACTS AND GRANTS MANAGER",
        "authorized_official_telephone_number": "310-751-5442"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Didi Hirsch at Glendale High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.