SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1902300650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902300650 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER, INC. |
| Other Organization Name | YOUTH CONTACT KITTRIDGE ES |
| Practice Address |
13619 Kittridge St Van Nuys CA 91401-1113 |
| Mailing Address |
16360 Roscoe Blvd Fl 2 Van Nuys CA 91406-1219 |
| Practice Telephone | 8187867926 |
| Mailing Telephone | 8189014830 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-03-09 |
| 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 |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Youth Contact Kittridge ES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865237 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 14711 Gilmore St, Van Nuys, CA 91411-1595 | 2020-03-10 |
| 1255835807 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6464 Sylmar Ave, Van Nuys, CA 91401-1433 | 2018-03-20 |
| 1629572375 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13000 Hart St, North Hollywood, CA 91605-4801 | 2018-03-19 |
| 1053815795 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13400 Erwin St, Van Nuys, CA 91401-3014 | 2018-03-19 |
| 1679077333 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6238 Noble Ave, Van Nuys, CA 91411-2026 | 2018-03-19 |
| 1346744075 | San Fernando Valley Community Mental Health Center, Inc. | Psychologist | 15810 Saticoy St, Van Nuys, CA 91406-3128 | 2018-03-19 |
| 1992209639 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 17120 Vanowen St, Lake Balboa, CA 91406-4449 | 2018-03-19 |
| 1790289437 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6900 Calhoun Ave, Van Nuys, CA 91405-3209 | 2018-03-19 |
| 1497259154 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 7940 Ranchito Ave, Panorama City, CA 91402-6131 | 2018-03-19 |
| 1912401662 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 7150 Hazeltine Ave, Van Nuys, CA 91405-3244 | 2018-03-19 |
| Street Address |
13619 KITTRIDGE ST |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91401-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| 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 |
|---|---|---|---|---|
| 1245865237 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 14711 Gilmore St, Van Nuys, CA 91411-1595 | 2020-03-10 |
| 1255835807 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6464 Sylmar Ave, Van Nuys, CA 91401-1433 | 2018-03-20 |
| 1053815795 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13400 Erwin St, Van Nuys, CA 91401-3014 | 2018-03-19 |
| 1679077333 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6238 Noble Ave, Van Nuys, CA 91411-2026 | 2018-03-19 |
| 1790289437 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6900 Calhoun Ave, Van Nuys, CA 91405-3209 | 2018-03-19 |
| 1912401662 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 7150 Hazeltine Ave, Van Nuys, CA 91405-3244 | 2018-03-19 |
| 1588820286 | Rachel Mathai | Psychiatry & Neurology | 8100 Balboa Pla, Van Nuys, CA 91406 | 2008-08-01 |
| 1932365632 | Cyril Mathai | Psychiatry & Neurology | 8100 Balboa Place, Van Nuys, CA 91406 | 2008-08-01 |
| 1023148970 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14550 Sherman Way, Van Nuys, CA 91405-2210 | 2007-03-07 |
| 1366572224 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14624 Sherman Cir, Suite 502 and 508, Van Nuys, CA 91405-2241 | 2007-03-07 |
| Find all providers in VAN NUYS | ||||
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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.