Premiere Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIERE THERAPY

Practice address

1434 S Crescent Heights Blvd
Los Angeles, CA 90035-3857

Phone

(323) 864-9400

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Mark Gallo, LMFTNPI 1326636853

Title

Coo

Phone

(323) 864-9400

Specialties & licenses 1

Addresses

Other names 2

• Premiere Therapy Doing business as
• Premiere Events Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark B Gallo Jr., LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1326636853
  NPD Authorized official

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1962091017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 S CRESCENT HEIGHTS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353857",
            "telephone_number": "323-864-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 S CRESCENT HEIGHTS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353857",
            "telephone_number": "323-864-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "323-864-9400",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premiere Events",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Premier Point Medical Group
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• Premier Wound Care of Los Angeles
• Premiere Clinical Laboratory,Inc.
• Premiere Dental Care, Inc.
• Premise Health of California Medical PC
• Premise Health of California Medical PC
• Premise Health of California Medical, P.C
• Premium Interpreting, Inc
• Alykhan Moez Premji, MD

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.