NPIMap

Organization Active NPI

San Fernando Valley Community Mental Health Center - FSP

  • Community/Behavioral Health Agency
  • Van Nuys, CA
National Provider Identifier
1780838235
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS 23834 Issued in CA
Legal business name
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER - FSP
Practice address
14658 Oxnard St
Van Nuys, CA 91411-3119
Phone
(818) 785-0103
Fax
(818) 785-0145
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Jenna Balsavage, LCSW
Title
FSP Program Manager
Phone
(818) 785-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCS 23834 CA Primary

Addresses

Primary practice location

14658 Oxnard St
Van Nuys, CA 91411-3119

Mailing address

14658 Oxnard St
Van Nuys, CA 91411-3119
Phone (818) 785-0103

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1780838235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14658 OXNARD ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113119",
            "telephone_number": "818-785-0103",
            "fax_number": "818-785-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14658 OXNARD ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914113119",
            "telephone_number": "818-785-0103",
            "fax_number": "818-785-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER - FSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "BALSAVAGE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "FSP PROGRAM MANAGER",
        "authorized_official_telephone_number": "818-785-0103",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS 23834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.