Los Angeles County Department of Mental Health

Primary specialty

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

Legal business name

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH

Practice address

12408 Van Nuys Blvd
Pacoima, CA 91331-1313

Phone

(818) 832-2400

Fax

(818) 832-2567

NPI assigned

Jul 29, 2006

Organization subpart

Yes

Parent organization

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTHAs reported in NPPES

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

Authorized official

Name

Lisa H. Wong, PSY.D.

Title

Acting Director

Phone

(213) 738-4601

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DMH Urgent Community Svcs Hillview Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Palisoc Ado

Practitioners 2

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

• Kelli Blanchfield, L.C.S.W.

  • Clinical Social Worker
  • El Monte, CA
  • NPI 1992874341
  NPD
• Janine Roach, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1972644227
  NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1861406126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201992",
            "telephone_number": "213-738-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12408 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311313",
            "telephone_number": "818-832-2400",
            "fax_number": "818-832-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH",
        "enumeration_date": "2006-07-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "213-738-4601",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMH Urgent Community Svcs Hillview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMH Urgent Community Svcs Hillview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Lopez
• Karina Lopez
• Priscella Lopez
• Sarah Lopez
• Jana Lord, PSY.D.
• Loving Family Care Inc
• Cecilia Michelle Lucero
• Jonathan Tyler Ludington
• Carla Luna
• Evangelia Ly

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pacoima, CA
• Providers in Pacoima, 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 Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.