Active NPI
Trauma Changed Psychotherapy Services, Inc.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1942774963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.