Connected Outpatient Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CONNECTED OUTPATIENT INC.

Practice address

14242 Ventura Blvd Ste 211
Sherman Oaks, CA 91423-2757

Phone

(747) 217-4033

Fax

(747) 217-4380

NPI assigned

Nov 10, 2022

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jevan Jim Chimayan

Title

Vice President

Phone

(818) 414-0525

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1922716646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14242 VENTURA BLVD STE 211",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232757",
            "telephone_number": "747-217-4033",
            "fax_number": "747-217-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14242 VENTURA BLVD STE 211",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232757",
            "telephone_number": "747-217-4033",
            "fax_number": "747-217-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED OUTPATIENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "CHIMAYAN",
        "authorized_official_first_name": "JEVAN",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-414-0525"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen B Conway, PH.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.