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SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER NPI 1588794747


NPI Information

NPI: 1588794747
Provider Name: SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER

Doing Business As: CENTER FOR FAMILY LIVING

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 05D1074895

Address:
14545 SHERMAN CIR
VAN NUYS, CA
ZIP 91405
Phone: (818) 901-4854
Get Directions

SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER is a psychiatry psychiatry neurology in Van Nuys, CA. The provider is 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. SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER NPI is 1588794747. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Family Living.

The provider's business location address is:

14545 SHERMAN CIR
VAN NUYS, CA
ZIP 91405-087
Phone: (818) 901-4854
Fax: (818) 908-4995

The provider's authorized official is Timothy Ryder .
The authorized official title is President and has the following contact phone number (818) 901-4830.

The CLIA number assigned to this NPI record is 05D1074895 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2007 and was last updated on 2/4/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryD0591483CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000007100OTHERCALIFORNIAMEDICAL PROVIDER

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: 11/14/2023

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