TOTAL FAMILY SUPPORT CLINIC (NPI# 1750559779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750559779 |
| Entity Type | Organization |
| Organization Name | TOTAL FAMILY SUPPORT CLINIC |
| Practice Address |
11031 Camarillo St North Hollywood CA 91602-1210 |
| Mailing Address |
830 S Olive St Los Angeles CA 90014-3006 |
| Practice Telephone | 2132130581 |
| Practice Fax Number | 2132130580 |
| Mailing Telephone | 2132130581 |
| Mailing Fax Number | 2132130580 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | MRS. MARINA VERKHOVSKY (DIRECTOR OF HR) |
| Authorized Official Telephone | 2132130581 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110981 | Total Family Support Clinic | Case Management | 1001 Arroyo St, San Fernando, CA 91340-1817 | 2013-05-01 |
| 1346590072 | Total Family Support Clinic | Case Management | 2019 Pico Blvd, Santa Monica, CA 90405-1731 | 2012-09-10 |
| 1295085934 | Total Family Support Clinic | Case Management | 740 N Pacific Ave, C1 & C2, San Pedro, CA 90731-1630 | 2012-09-10 |
| 1184983231 | Total Family Support Clinic | Case Management | 1921 Maple Ave, Los Angeles, CA 90011-1036 | 2012-05-10 |
| 1639438799 | Total Family Support Clinic | Case Management | 2450a Glendale Blvd, Los Angeles, CA 90039-3240 | 2012-05-10 |
| 1548529605 | Total Family Support Clinic | Case Management | 1924 S Los Angeles St, Los Angeles, CA 90011-1031 | 2012-05-10 |
| 1851650972 | Total Family Support Clinic | Case Management | 3701 E Willow St, Long Beach, CA 90815-1732 | 2012-05-09 |
| 1871852996 | Total Family Support Clinic | Case Management | 11133 Omelveny Ave, Room #506, San Fernando, CA 91340-4426 | 2012-05-09 |
| 1255699708 | Total Family Support Clinic | Case Management | 1646 S Olive St, Los Angeles, CA 90015-3507 | 2012-05-02 |
| 1750649208 | Total Family Support Clinic | Case Management | 7850 Melrose Ave, Los Angeles, CA 90046-7210 | 2012-05-02 |
| Street Address |
11031 CAMARILLO ST |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| 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 |
|---|---|---|---|---|
| 1396307401 | A Purposeful Mind | Community/Behavioral Health | 11925 Vanowen St, North Hollywood, CA 91605-6910 | 2019-06-28 |
| 1861737132 | Danielle Corona | Community/Behavioral Health | 13051 Ratner St, North Hollywood, CA 91605-1024 | 2012-11-27 |
| 1841570090 | Crossroads Outpatient Treatment Center Inc. | Community/Behavioral Health | 11484 W. Burbank Blvd., North Hollywood, CA 91601 | 2011-08-19 |
| 1770874026 | Los Angeles Family Housing | Community/Behavioral Health | 7817 Lankershim Blvd, North Hollywood, CA 91605-2523 | 2011-04-20 |
| 1528368735 | Social Service Professionals | Community/Behavioral Health | 6938 Laurel Canyon Blvd., Unit 316, North Hollywood, CA 91605 | 2010-10-22 |
| 1225215148 | Los Angeles County Department of Mental Health | Community/Behavioral Health | 11500 Riverside Dr Apt 1, North Hollywood, CA 91602-1026 | 2008-01-22 |
| 1235331752 | New Hopr Drug &alcohol Treatment Programs | Community/Behavioral Health | 6737 Denny Ave Apt 29, North Hollywood, CA 91606-2213 | 2007-06-05 |
| 1932238862 | The Dubnoff Center for Child Development | Community/Behavioral Health | 11631 Victory Blvd Ste 207, North Hollywood, CA 91606-3572 | 2007-03-05 |
| 1003942970 | Asc Treatment Group | Community/Behavioral Health | 5335 Craner Ave, North Hollywood, CA 91601-3313 | 2007-02-26 |
| 1174676720 | Cri-help, Inc. | Community/Behavioral Health | 11027 Burbank Blvd., North Hollywood, CA 91601-2431 | 2007-01-18 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on TOTAL FAMILY SUPPORT CLINIC.
| 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.