PSI HEALTH PARTNERS PC NPI 1457144180

NPI Information

  • NPI: 1457144180
  • Provider Name: PSI HEALTH PARTNERS PC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 05D2326495
  • Address: 522 N LARCHMONT BLVD
    LOS ANGELES, CA
    ZIP 90004
  • Phone: (213) 973-7512

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NPI Details

PSI HEALTH PARTNERS PC is a mental health (including community mental health center) clinic center in Los Angeles, CA. PSI HEALTH PARTNERS PC NPI is 1457144180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

522 N LARCHMONT BLVD
LOS ANGELES, CA
ZIP 90004-306
Phone: (213) 973-7512
Fax: (213) 608-0121

The provider's authorized official is Brooke Balliett .
The authorized official title is Chief Clinical & Operations Officer and has the following contact phone number (323) 456-3033.

The CLIA number assigned to this NPI record is 05D2326495 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2025 and was last updated on 5/26/2025.

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
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3163W00000XRegistered NurseNo
4207R00000XInternal MedicineNo
5207RA0401XInternal MedicineAddiction MedicineNo
62083A0300XPreventive MedicineAddiction MedicineNo
7103T00000XPsychologistNo
81041C0700XSocial WorkerClinicalNo
92084P0800XPsychiatry & NeurologyPsychiatryNo
10363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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