DIDI HIRSCH PSYCHIATRIC SERVICE (DIDI HIRSCH GLENDALE CENTER) - NPI NUMBER 1265721708

Summary

Provider Name: DIDI HIRSCH PSYCHIATRIC SERVICE (DIDI HIRSCH GLENDALE CENTER)

NPI Number: 1265721708

Clasification: Community/Behavioral Health (251S00000X)

Address:
1540 E COLORADO ST
GLENDALE, CA
ZIP 91205

Phone Number: (818) 244-7257



Detailed Information

DIDI HIRSCH PSYCHIATRIC SERVICE is a community/behavioral health in Glendale, CA. The provider is 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. The assigned NPI number for this provider is 1265721708 and is registered as an organization entity type.
The provider Other Name Is Didi Hirsch Glendale Center.

The provider's business address is:

1540 E COLORADO ST
GLENDALE, CA
ZIP 91205-514
Phone: (818) 244-7257
Fax: (818) 243-5431

The provider's authorized official is Kita Curry .
The authorized official title is President/ceo and has the following contact phone number (310) 751-5423.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 2/15/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251S00000X Community/Behavioral Health Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1265721708 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name DIDI HIRSCH PSYCHIATRIC SERVICE The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name DIDI HIRSCH GLENDALE CENTER Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 5 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 1540 E COLORADO ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name GLENDALE The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 912051514 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 8182447257 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 8182435431 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 4/5/2011 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 2/15/2013 The date that a record was last updated or changed.
16 Authorized Official Last Name CURRY The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name KITA The first name of the authorized official.
18 Authorized Official Title or Position PRESIDENT/CEO The title or position of the authorized official.
19 Authorized Official Telephone Number 3107515423 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 251S00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Authorized Official Name Prefix Text DR.
24 Authorized Official Credential Text PH.D.

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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