NPIMap

Organization Active NPI

San Fernando Valley Community Mental Health Center

Doing business as Transitions Bassett

  • Psychiatry Physician
  • North Hollywood, CA
National Provider Identifier
1750411609
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0591483 Issued in CA
Legal business name
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER
Doing business as
Transitions Bassett
Practice address
13143 Bassett St
North Hollywood, CA 91605-4726
Phone
(818) 901-4830
Fax
(818) 785-3446
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Timothy Ryder
Title
President
Phone
(818) 901-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X D0591483 CA Primary

Addresses

Primary practice location

13143 Bassett St
North Hollywood, CA 91605-4726

Mailing address

16360 Roscoe Blvd
Suite 200
Van Nuys, CA 91406-1219
Phone (818) 901-4830

Other identifiers 1

IdentifierTypeStateIssuer
000007415OtherCAMEDICAL PROVIDER

Other names 1

  • TRANSITIONS BASSETT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Fernando Valley Community Mental Health Center Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1750411609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 ROSCOE BLVD",
            "address_2": "SUITE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061219",
            "telephone_number": "818-901-4830",
            "fax_number": "818-785-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13143 BASSETT ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054726",
            "telephone_number": "818-901-4830",
            "fax_number": "818-785-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-901-4830"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "D0591483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "000007415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRANSITIONS BASSETT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRANSITIONS BASSETT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.