NPIMap

Organization Active NPI

Behavioral Health Services

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1992835706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190007NN Issued in CA
Legal business name
BEHAVIORAL HEALTH SERVICES
Practice address
4065 Whittier Blvd
Suite 202-203
Los Angeles, CA 90023-2556
Phone
(323) 269-4890
Fax
(323) 269-1852
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Teri Cannon
Title
Executive Vice President
Phone
(310) 679-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190007NN CA Primary

Addresses

Primary practice location

4065 Whittier Blvd
Suite 202-203
Los Angeles, CA 90023-2556

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126

Other identifiers 1

IdentifierTypeStateIssuer
190007NNOtherCAALCOHOL DRUG CERTIFICATIO

Other names 1

  • East LA Family Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Services Incorporated41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

4065 Whittier Blvd
Ste 202203
Los Angeles, CA 90023
Phone (323) 269-4890

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992835706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494525",
            "telephone_number": "310-679-9126",
            "fax_number": "310-679-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD",
            "address_2": "SUITE 202-203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232556",
            "telephone_number": "323-269-4890",
            "fax_number": "323-269-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190007NN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL DRUG CERTIFICATIO",
            "identifier": "190007NN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East LA Family Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.