Organization Active NPI

Mha - Tay - Child and Family Guidance Center

  • Community/Behavioral Health Agency
  • Palmdale, CA
National Provider Identifier
1972776474
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MHA - TAY - CHILD AND FAMILY GUIDANCE CENTER
Practice address
310 E Palmdale Blvd
Palmdale, CA 93550-7145
Phone
(661) 265-8627
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Dr. Jeff Adler, PH.D.
Title
Director of I.T.
Phone
(818) 739-5125

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

310 E Palmdale Blvd
Palmdale, CA 93550-7145

Mailing address

9650 Zelzah Ave
Northridge, CA 91325-2003

Other identifiers 1

IdentifierTypeStateIssuer
00200MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Child and Family Guidance Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9650 Zelzah Ave
Northridge, CA 91325
Phone (818) 993-9311

310 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 258-3211

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1972776474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 ZELZAH AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507145",
            "telephone_number": "661-265-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHA - TAY - CHILD AND FAMILY GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF I.T.",
        "authorized_official_telephone_number": "818-739-5125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.