Organization Active NPI

Elysian Health LLC

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1750122966
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ELYSIAN HEALTH LLC
Practice address
7966 Beverly Blvd Ste 103
Los Angeles, CA 90048-4511
Phone
(310) 892-6295
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Justin White
Title
Ceo
Phone
(310) 892-6295

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

7966 Beverly Blvd Ste 103
Los Angeles, CA 90048-4511

Mailing address

7966 Beverly Blvd Ste 103
Los Angeles, CA 90048-4511
Phone (310) 892-6295

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2303887Elysian Health LLC7966 Beverly Blvd Suite 102, Los Angeles, CA 90048Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

7966 Beverly Blvd
Ste 103
Los Angeles, CA 90048
Phone (310) 892-6295

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1750122966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7966 BEVERLY BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484511",
            "telephone_number": "310-892-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7966 BEVERLY BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484511",
            "telephone_number": "310-892-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-892-6295"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.