PEDIATRIC MINDS MEDICAL CENTER NPI 1205140548

NPI Information

NPI: 1205140548
Provider Name: PEDIATRIC MINDS MEDICAL CENTER
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Doing Business As: EARLY CHILDHOOD TREATMENT CENTER
Address: 3524 TORRANCE BLVD
SUITE 103
TORRANCE, CA
ZIP 90503
Phone: (310) 540-1630

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NPI Details

PEDIATRIC MINDS MEDICAL CENTER is an adolescent and children mental health clinic center in Torrance, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. PEDIATRIC MINDS MEDICAL CENTER NPI is 1205140548. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Early Childhood Treatment Center.

The provider's business location address is:

3524 TORRANCE BLVD
SUITE 103
TORRANCE, CA
ZIP 90503-821
Phone: (310) 540-1630
Fax: (310) 543-0400

The provider's authorized official is Maria Apodaca .
The authorized official title is Account Representative and has the following contact phone number (424) 206-1919.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 9/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	103TC2200X	Psychologist	Clinical Child & Adolescent			No
2	103G00000X	Clinical Neuropsychologist				No
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			No
4	103TP2701X	Psychologist	Group Psychotherapy			No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	A78624	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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