Organization Active NPI

Trauma Changed Psychotherapy Services, Inc.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1942774963
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRAUMA CHANGED PSYCHOTHERAPY SERVICES, INC.
Practice address
5444 Crenshaw Blvd Ste 201
Los Angeles, CA 90043-2408
Phone
(323) 505-9500
Fax
(310) 933-1414
NPI assigned
Jan 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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

Authorized official

Name
John T Casey, LCSW
Title
Co-Founder/Cfo
Phone
(562) 308-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5444 Crenshaw Blvd Ste 201
Los Angeles, CA 90043-2408

Mailing address

5444 Crenshaw Blvd Ste 201
Los Angeles, CA 90043-2408
Phone (323) 505-9500

Other practice location 1

8840 Warner Ave Ste 207
Fountain Valley, CA 92708-3233
Phone (323) 505-9500

National Provider Directory

National Provider Directory

Locations

8840 Warner Ave
Ste 207
Fountain Valley, CA 92708
Phone (323) 505-9500

5444 Crenshaw Blvd
Ste 201
Los Angeles, CA 90043
Phone (323) 451-5403

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547251200000",
    "number": "1942774963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 CRENSHAW BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432408",
            "telephone_number": "323-505-9500",
            "fax_number": "310-933-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 CRENSHAW BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432408",
            "telephone_number": "323-505-9500",
            "fax_number": "310-933-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 Warner Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927083233",
            "country_code": "US",
            "telephone_number": "323-505-9500",
            "fax_number": "310-933-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAUMA CHANGED PSYCHOTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO-FOUNDER/CFO",
        "authorized_official_telephone_number": "562-308-7171",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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 Jan 12, 2019; 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.