NPIMap

Organization Active NPI

Personalized Treatment & Intervention Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inglewood, CA
National Provider Identifier
1861026445
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PERSONALIZED TREATMENT & INTERVENTION SERVICES
Practice address
519 E Hazel St Unit 17
Inglewood, CA 90302-5358
Phone
(916) 904-4607
NPI assigned
Feb 23, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Earnestine Whitson
Title
Director
Phone
(323) 379-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

519 E Hazel St Unit 17
Inglewood, CA 90302-5358

Mailing address

519 E Hazel St Unit 17
Inglewood, CA 90302-5358
Phone (916) 904-4607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1861026445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E HAZEL ST UNIT 17",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903025358",
            "telephone_number": "916-904-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E HAZEL ST UNIT 17",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903025358",
            "telephone_number": "916-904-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED TREATMENT & INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "EARNESTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-379-5003"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

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