HAZELDEN BETTY FORD FOUNDATION (NPI# 1508261025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508261025 |
| Entity Type | Organization |
| Organization Name | HAZELDEN BETTY FORD FOUNDATION |
| Other Organization Name | BETTY FORD CENTER AT WEST LOS ANGELES |
| Practice Address |
10700 Santa Monica Blvd Suite 310 Los Angeles CA 90025-4768 |
| Practice Telephone | 7607734100 |
| Mailing Telephone | 6512134286 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | JAMES STEINHAGEN (VP SW REGION) |
| Authorized Official Telephone | 7604236801 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAZELDEN BETTY FORD FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Betty Ford Center at West Los Angeles | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1043679350 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 680 Stewart Ave, Saint Paul, MN 55102-4117 | 2016-02-15 |
| 1376922856 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2015-05-29 |
| 1700270964 | Hazelden Betty Ford Foundation | Community/Behavioral Health | 867 N Dearborn St, Chicago, IL 60610-3310 | 2015-03-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Massachusetts Corporations | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Rd., Center City, MN 55012 |
| New York State Corporations | HAZELDEN BETTY FORD FOUNDATION | 28 Liberty St., New York, New York 10005 |
| Colorado Business Entities | Hazelden Betty Ford Foundation | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Oregon Corporations, Companies and Business Names | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Street Address |
10700 SANTA MONICA BLVD SUITE 310 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366408908 | Jessica Wendy Seaton | Chiropractor | 10700 Santa Monica Blvd, Los Angeles, CA 90025-4768 | 2006-04-22 |
| 1518415215 | Shelly P. Harrell | Psychologist | 10700 Santa Monica Blvd, Suite 315, Los Angeles, CA 90025-4768 | 2016-09-12 |
| 1508217894 | Diana Hovsepian | Behavioral Analyst | 10700 Santa Monica Blvd, #214, Los Angeles, CA 90025-4768 | 2016-06-28 |
| 1972954626 | Jo Mullins | Behavioral Analyst | 10700 Santa Monica Blvd, Suite 214, Los Angeles, CA 90025-4768 | 2016-06-23 |
| 1013368935 | Marlesha Bell | Behavioral Analyst | 10700 Santa Monica Blvd, Suite #214, Los Angeles, CA 90025-4768 | 2016-06-22 |
| 1285084186 | Sydney Singer | Behavioral Analyst | 10700 Santa Monica Blvd, Suite 214, Los Angeles, CA 90025-4768 | 2016-06-21 |
| 1174903058 | Dixit Medical Inc | Internal Medicine | 10700 Santa Monica Blvd, Suite 309a, Los Angeles, CA 90025-4768 | 2015-06-04 |
| 1124411301 | Trina Health of West Los Angeles, LLC | Clinic/Center | 10700 Santa Monica Blvd, Suite 309, Los Angeles, CA 90025-4768 | 2015-03-11 |
| 1043609449 | Recovery Partners, P.C. | Psychologist | 10700 Santa Monica Blvd, Suite 310, Los Angeles, CA 90025-4768 | 2015-01-22 |
| 1437556974 | Lee Miller | Marriage & Family Therapist | 10700 Santa Monica Blvd, Los Angeles, CA 90025-4768 | 2014-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on HAZELDEN BETTY FORD FOUNDATION.
| 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.