SAN FERNANDO VALLY COMMUNITY MENTAL HEALTH CENTER (NPI# 1386775237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386775237 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO VALLY COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | SFVCMHC JUVENILE JUSTICE PROGRAMS |
| Practice Address |
6400 Laurel Canyon Blvd Suite 500 North Hollywood CA 91606-1571 |
| Mailing Address |
16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 |
| Practice Telephone | 8189014879 |
| Practice Fax Number | 8189971370 |
| Mailing Telephone | 8189014830 |
| Mailing Fax Number | 8187853446 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | TIMOTHY RYDER (PRESIDENT) |
| Authorized Official Telephone | 8189014830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0591483 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER | 000007622 | 01 |
| Other Name | Type Code |
|---|---|
| SFVCMHC Juvenile Justice Programs | Doing Business As Name - Organization |
| Street Address |
6400 LAUREL CANYON BLVD SUITE 500 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799928 | Annex Healthcare Providers Inc | Home Health | 6400 Laurel Canyon Blvd, #490, North Hollywood, CA 91606-1559 | 2005-09-06 |
| 1740838432 | Karla Juliet Salazar | Student in an Organized Health Care Education/Training Program | 6400 Laurel Canyon Blvd, North Hollywood, CA 91606-1571 | 2019-08-27 |
| 1083138390 | Valley Community Counseling Clinic | Clinic/Center | 6400 Laurel Canyon Blvd, Suite 260, North Hollywood, CA 91606 | 2017-07-28 |
| 1891198586 | Valeria Esparza | Specialist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2014-10-08 |
| 1164835674 | Elizabeth Ann Printz | Occupational Therapist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2014-06-03 |
| 1891113296 | Ariel Marie Forman | Physical Therapist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2014-04-02 |
| 1336565720 | Mary Hendricks | Speech-Language Pathologist | 6400 Laurel Canyon Blvd, North Hollywood, CA 91606-1571 | 2014-03-10 |
| 1578998365 | Carol Anne Shapiro | Speech-Language Pathologist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2013-09-11 |
| 1689013492 | Katheryn May Reeves | Specialist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2013-06-14 |
| 1023456522 | Tiffany Ellen Manzini | Specialist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629572375 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13000 Hart St, North Hollywood, CA 91605-4801 | 2018-03-19 |
| 1821128950 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 5519 Elmer Ave, North Hollywood, CA 91601-2412 | 2007-03-07 |
| 1750411609 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 13143 Bassett St, North Hollywood, CA 91605-4726 | 2007-03-07 |
| 1053342675 | Helen I Smith | Psychiatry & Neurology | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2006-07-05 |
| 1083971162 | Samuel B Lee | Psychiatry & Neurology | 4605 Lankershim Blvd Ste 617, North Hollywood, CA 91602-1856 | 2012-04-13 |
| 1689947251 | Cole Marta | Psychiatry & Neurology | 11159 La Maida St, North Hollywood, CA 91601 | 2012-02-13 |
| 1912037060 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-07 |
| 1013047422 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6400 Laurel Canyon Blvd, Suite 500, North Hollywood, CA 91606-1571 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
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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.