DIDI HIRSCH PSYCHIATRIC SERVICE (NPI# 1225535925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225535925 |
| Entity Type | Organization |
| Organization Name | DIDI HIRSCH PSYCHIATRIC SERVICE |
| Other Organization Name | DIDI HIRSCH AT JEFFERSON ES |
| Practice Address |
4091 W 139th St Rm 1 Hawthorne CA 90250-7303 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 3106769423 |
| Mailing Telephone | 3103906612 |
| Mailing Fax Number | 3107515481 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | DULCE M RUIZ (CONTRACTS & GRANTS MANAGER) |
| Authorized Official Telephone | 3107515442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Didi Hirsch at Jefferson ES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1831758242 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 8515 Kansas Ave, Los Angeles, CA 90044-3496 | 2019-06-10 |
| 1942792700 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 2726 Francis Ave Rm 16, Los Angeles, CA 90005-1252 | 2018-06-06 |
| 1376044990 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 11800 Texas Ave, Los Angeles, CA 90025-1402 | 2018-02-28 |
| 1194035238 | Didi Hirsch Psychiatric Service | Early Intervention Provider Agency | 10277 W Olympic Blvd, Los Angeles, CA 90067-7005 | 2010-10-07 |
| 1831408509 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 2000 E 4th St Ste 201, Santa Ana, CA 92705-3907 | 2010-09-29 |
| 1467583518 | Didi Hirsch Psychiatric Service | Community Based Residential Treatment Facility, Mental Illness | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2007-03-08 |
| 1023149077 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 11133 Washington Blvd, Culver City, CA 90232-3918 | 2007-03-08 |
| 1295866283 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 672 S La Fayette Park Place, Suite 6, Los Angeles, CA 90057-3251 | 2007-03-08 |
| Street Address |
4091 W 139TH ST RM 1 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053847814 | Lisa Trucil | Community/Behavioral Health | 155 Pasadena Pl, Hawthorne, NJ 07506-2805 | 2017-05-11 |
| 1982052569 | Training With A Purpose LLC. | Community/Behavioral Health | 65 Rock Rd, Hawthorne, NJ 07506-1568 | 2016-05-24 |
| 1821459249 | New Horizons In Case Management, LLC | Community/Behavioral Health | 50 Rock Rd, Apt B9, Hawthorne, NJ 07506-1569 | 2016-03-12 |
| 1558741504 | Rem New Jersey, Inc. | Community/Behavioral Health | 996 Lafayette Ave Ext, 2nd Floor, Hawthorne, NJ 07506-2229 | 2015-06-04 |
| 1326339995 | Hawthorne Academy | Community/Behavioral Health | 12500 Ramona Ave, Hawthorne, CA 90250-4330 | 2011-04-29 |
| 1851696983 | Innovative Learning Group | Community/Behavioral Health | 29 Garden Ave, Hawthorne, NJ 07506-1518 | 2011-01-20 |
| 1225202716 | Family United-n-new Beginnings, Inc. | Community/Behavioral Health | 11616 Hawthorne Blvd, Suite 202, Hawthorne, CA 90250 | 2008-04-16 |
| 1780898643 | Nysarc Inc Westchester County Chapter | Community/Behavioral Health | 265 Saw Mill River Road, Hawthorne, NY 10532 | 2007-05-10 |
| 1134263452 | New Hope Health Services | Community/Behavioral Health | 13325 Hawthorne Blvd, Hawthorne, CA 90250-5802 | 2007-02-19 |
| 1528572864 | Ldr Multicultural Family Development LLC | Community/Behavioral Health | 159 Parker Ave, Hawthorne, NJ 07506-1140 | 2017-11-22 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.