NPIMap

Organization Active NPI

Hillsides

  • Adolescent and Children Mental Health Clinic/Center
  • South Pasadena, CA
National Provider Identifier
1902920176
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
HILLSIDES
Practice address
149 Pasadena Ave Ste a
South Pasadena, CA 91030-3351
Phone
(323) 254-2274
NPI assigned
Mar 16, 2007
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HILLSIDESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Stacey Roth, LCSWNPI 1497885883
Title
Chief Executive Officer
Phone
(323) 543-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

149 Pasadena Ave Ste a
South Pasadena, CA 91030-3351

Mailing address

149 Pasadena Ave Ste a
South Pasadena, CA 91030-3351
Phone (323) 274-3065

Other names 1

  • Hillsides Family Resource Center Other name

National Provider Directory

National Provider Directory
Part of
Hillsides

Locations

149 Pasadena Ave
South Pasadena, CA 91030
Phone (323) 274-3065

149 Pasadena Ave
Ste A
South Pasadena, CA 91030
Phone (323) 274-3065

Practitioners & affiliated clinicians

Practitioners 75

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 75

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1902920176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PASADENA AVE STE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303351",
            "telephone_number": "323-274-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PASADENA AVE STE A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303351",
            "telephone_number": "323-254-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSIDES",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-543-2800",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsides Family Resource Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hillsides Family Resource Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.