GATEWAYS PERCY VILLAGE B (NPI# 1659573905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659573905 |
| Entity Type | Organization |
| Organization Name | GATEWAYS PERCY VILLAGE B |
| Practice Address |
1891 Effie St Los Angeles CA 90026-1711 |
| Mailing Address |
3455 Percy St Los Angeles CA 90023-1716 |
| Practice Telephone | 3236442000 |
| Mailing Telephone | 3232682100 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | MARA PELSMAN (CEO) |
| Authorized Official Telephone | 3236442000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 198600612 | CA | Residential Treatment Facilities |
| Street Address |
1891 EFFIE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90026-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868395 | Ilene D Miner | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1711 | 2005-11-18 |
| 1316566292 | Priscilla Ortega | Registered Nurse | 1891 Effie St, Los Angeles, CA 90026-1793 | 2020-04-10 |
| 1568090595 | Emily Erskin | Counselor | 1891 Effie St, Los Angeles, CA 90026-1711 | 2020-03-27 |
| 1932749363 | Genevie Ulloa | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1711 | 2020-01-14 |
| 1306498894 | Michael Sidney Dappolonia | Nurse Practitioner | 1891 Effie St, Los Angeles, CA 90026-1711 | 2019-07-15 |
| 1205490703 | Nicole Soriano | Marriage & Family Therapist | 1891 Effie St, Los Angeles, CA 90026-1711 | 2019-04-30 |
| 1376006197 | Stephanie Beth Drotman | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1793 | 2019-04-09 |
| 1972955904 | Sara Melissa Feldman | Social Worker | 1891 Effie St, Los Angeles, CA 90026-1711 | 2016-07-01 |
| 1982050571 | Nicholas Albrecht | Marriage & Family Therapist | 1891 Effie St, Los Angeles, CA 90026-1711 | 2016-05-12 |
| 1821462128 | Daniel Maryanov | Registered Nurse | 1891 Effie St, Los Angeles, CA 90026-1711 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497305684 | Mieshia Gaston | Technician | 831 Lucile Ave, 201, Los Angeles, CA 90026 | 2019-09-19 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| 1720504343 | Nadia Jocelyn Munoz | Counselor | 155 N. Occidental Blvd., Los Angeles, CA 90026 | 2017-08-15 |
| 1518489434 | Paul Keeley | Marriage & Family Therapist | 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 | 2017-07-12 |
| 1326598079 | Yen-chen Chen | Speech-Language Pathologist | 2836 Sunset Blvd., Los Angeles, CA 90026 | 2016-10-06 |
| 1386038446 | Grace Ann M Navos | Physical Therapy Assistant | 2708 Glassell St, Los Angeles, CA 90026 | 2015-03-26 |
| 1578964227 | Giselle Louise Jones | Social Worker | 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 | 2014-09-12 |
| 1619394160 | Mary Ann Flores Topico | Nurse Practitioner | 1379 Angelina St., Los Angeles, CA 90026 | 2014-03-22 |
| 1447674981 | Tribeca Pediatrics, PC | Pediatrics | 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 | 2014-02-04 |
| Find all providers in zip 90026 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765530 | Bel Air Health Services Inc. | Psychiatric Residential Treatment Facility | 11240 Chalon Rd, Los Angeles, CA 90049-1719 | 2019-11-20 |
| 1770026544 | Optimist Boys' Home and Ranch, Inc. | Psychiatric Residential Treatment Facility | 1635 Silver Oak Ter, Los Angeles, CA 90041-3121 | 2016-11-29 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| 1609279983 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 12121 Wilshire Boulevard, Suite 601, Los Angeles, CA 90025 | 2014-10-01 |
| 1457543894 | Mearle David Lewis | Psychiatric Residential Treatment Facility | 115 Barrington Walk, Los Angeles, CA 90049-2931 | 2007-08-09 |
| 1497884613 | Gateways Community Mhc | Psychiatric Residential Treatment Facility | 433 N Hoover St, Los Angeles, CA 90004-2306 | 2007-03-05 |
| 1215066436 | Gateways Percy Village | Psychiatric Residential Treatment Facility | 3455 Percy Street, Los Angeles, CA 90023 | 2007-03-05 |
| 1821625138 | Asc Treatment Group | Psychiatric Residential Treatment Facility | 2457 Endicott St, Los Angeles, CA 90032-3098 | 2020-03-25 |
| 1790228898 | Optimist Boys' Home & Ranch, Inc. | Psychiatric Residential Treatment Facility | 6957 N Figueroa St, Los Angeles, CA 90042-1245 | 2016-11-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90026 |
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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.