Verdugo Mental Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

A037154 Issued in CA

Legal business name

VERDUGO MENTAL HEALTH

Practice address

1540 E Colorado St
Glendale, CA 91205-1514

Phone

(818) 244-7257

Fax

(818) 243-5431

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

J Buckley

Title

Executive Assistant

Phone

(818) 244-7257

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Glen Roberts Child Study Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Verdugo Mental Health

  • Community/Behavioral Health Agency
  • Glendale, CA
  • NPI 1346381993
  NPD tax ID
• Verdugo Mental Health

  • Community/Behavioral Health Agency
  • Glendale, CA
  • NPI 1437290087
  NPD tax ID

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770658460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013130",
            "telephone_number": "626-397-4910",
            "fax_number": "626-397-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051514",
            "telephone_number": "818-244-7257",
            "fax_number": "818-243-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDUGO MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "818-244-7257"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A037154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WA48388H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verdugo Hospice Care, Inc.
• Verdugo Internal Medicine a Medical Group Inc
• Verdugo Mental Health
• Verdugo Mental Health
• Verdugo Mental Health
• Verdugo Optical
• Verdugo Orthopedic Medical Group
• Verdugo Radiology Medical Group, Inc.
• Verdure Home Health Care Inc
• Vericare of California Medical Group (Vericare)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, CA
• Providers in Glendale, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.