NPIMap

Organization Active NPI

Jewish Family & Children'S Service

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1811972433
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BU90068600 Issued in CA
Legal business name
JEWISH FAMILY & CHILDREN'S SERVICE
Practice address
3801 E Willow St
Long Beach, CA 90815-1734
Phone
(562) 427-7916
Fax
(562) 427-7910
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Ms. Wendy Lynn Puzarne, L.C.S.W.
Title
Executive Director
Phone
(562) 427-7916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X BU90068600 CA Primary

Addresses

Primary practice location

3801 E Willow St
Long Beach, CA 90815-1734

Mailing address

3801 E Willow St
Long Beach, CA 90815-1734
Phone (562) 427-7916

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Children'S Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1811972433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151734",
            "telephone_number": "562-427-7916",
            "fax_number": "562-427-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151734",
            "telephone_number": "562-427-7916",
            "fax_number": "562-427-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY & CHILDREN'S SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "PUZARNE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-427-7916",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "BU90068600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.