Organization Active NPI

Journey Psych LLC

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1891557740
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JOURNEY PSYCH LLC
Practice address
453 S Spring St Ste 400
Los Angeles, CA 90013-2074
Phone
(314) 452-1686
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Stacy A LyonsNPI 1588801641
Title
President
Phone
(314) 452-1686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

453 S Spring St Ste 400
Los Angeles, CA 90013-2074

Mailing address

222 Pevely Farms Dr
Eureka, MO 63025-1618
Phone (314) 452-1686

Other practice location 1

18205 N 51st Ave Ste 109
Glendale, AZ 85308-1491
Phone (314) 452-1686

National Provider Directory

National Provider Directory

Locations

18205 N 51st Ave
Ste 109
Glendale, AZ 85308
Phone (602) 547-1400

Practitioners & affiliated clinicians

Practitioners 1

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1891557740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PEVELY FARMS DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251618",
            "telephone_number": "314-452-1686",
            "fax_number": "800-452-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S SPRING ST STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132074",
            "telephone_number": "314-452-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18205 N 51st Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081491",
            "country_code": "US",
            "telephone_number": "314-452-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-452-1686"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.