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

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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
1 NPI 1265721708
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name DIDI HIRSCH PSYCHIATRIC SERVICE
5 Provider Other Organization Name DIDI HIRSCH GLENDALE CENTER
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 1540 E COLORADO ST
8 Provider Business Practice Location Address City Name GLENDALE
9 Provider Business Practice Location Address State Name CA
10 Provider Business Practice Location Address Postal Code 912051514
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8182447257
13 Provider Business Practice Location Address Fax Number 8182435431
14 Provider Enumeration Date 4/5/2011
15 Last Update Date 2/15/2013
16 Authorized Official Last Name CURRY
17 Authorized Official First Name KITA
18 Authorized Official Title or Position PRESIDENT/CEO
19 Authorized Official Telephone Number 3107515423
20 Healthcare Provider Taxonomy Code 1 251S00000X
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: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.