Pride Health Services, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

90318188 Issued in CA

Legal business name

PRIDE HEALTH SERVICES, INC.

Practice address

8904 S Vermont Ave
Los Angeles, CA 90044-4834

Phone

(323) 753-5950

Fax

(323) 753-6020

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Shakir

Title

Program Administrator

Phone

(310) 677-9019

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Carla D Johnson

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1982823050
  NPD (past)
• Juaquina Mackie

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1427225804
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1821261207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444834",
            "telephone_number": "323-753-5950",
            "fax_number": "323-753-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444834",
            "telephone_number": "323-753-5950",
            "fax_number": "323-753-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SHAKIR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "310-677-9019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "90318188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedorsha Price, CDAC
• Yvette R. Price, MD
• Shaniessa L. Prichett
• Patricia Ann Prickett, M.A., L.M.F.T.
• Pride Health Services (Pride Health Services Vermont)
• Pride Pathways Program
• Gordon Priedeman, PSY.D.
• Misa Priest
• Nneamaka Ajalla Priest, MD
• Claudia Z Prieto, B.A.

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.