NPIMap

Organization Active NPI

Total Family Support Clinic

  • Community/Behavioral Health Agency
  • North Hollywood, CA
National Provider Identifier
1750559779
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TOTAL FAMILY SUPPORT CLINIC
Practice address
11031 Camarillo St
North Hollywood, CA 91602-1210
Phone
(213) 213-0581
Fax
(213) 213-0580
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Mrs. Marina Verkhovsky, MS
Title
Director of HR
Phone
(213) 213-0581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11031 Camarillo St
North Hollywood, CA 91602-1210

Mailing address

830 S Olive St
Los Angeles, CA 90014-3006
Phone (213) 213-0581

National Provider Directory

National Provider Directory
Tax ID family
TFSC-Encino33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

11031 Camarillo St
North Hollywood, CA 91602

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1750559779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900143006",
            "telephone_number": "213-213-0581",
            "fax_number": "213-213-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 CAMARILLO ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021210",
            "telephone_number": "213-213-0581",
            "fax_number": "213-213-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY SUPPORT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "VERKHOVSKY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "213-213-0581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 20, 2011; 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.