SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER (NPI# 1013047281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013047281 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | SFVCMH/VICTORY WELLNESS CENTER |
| Practice Address |
6501 Van Nuys Blvd Van Nuys CA 91401-1425 |
| Mailing Address |
16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 |
| Practice Telephone | 8189897475 |
| Practice Fax Number | 8187813822 |
| Mailing Telephone | 8189014830 |
| Mailing Fax Number | 8187853446 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | TIMOTHY RYDER (PRESIDENT) |
| Authorized Official Telephone | 8189014830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0591483 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER | 000007235 | 01 |
| Other Name | Type Code |
|---|---|
| SFVCMH/Victory Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411609 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 13143 Bassett St, North Hollywood, CA 91605-4726 | 2007-03-07 |
| 1023148970 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14550 Sherman Way, Van Nuys, CA 91405-2210 | 2007-03-07 |
| 1366572224 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14624 Sherman Cir, Suite 502 and 508, Van Nuys, CA 91405-2241 | 2007-03-07 |
| 1295865335 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 16650 Sherman Way, Van Nuys, CA 91406-3782 | 2007-03-07 |
| 1710018403 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 6930 Bevis Street, Van Nuys, CA 91405-3844 | 2007-03-07 |
| 1841320793 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 11565 N Laurel Canyon Blvd, Suites 100,102,114,116,117, Mission Hills, CA 91340-4168 | 2007-03-07 |
| 1588794747 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14545 Sherman Cir, Van Nuys, CA 91405-3087 | 2007-03-06 |
| 1164427316 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 16360 Roscoe Blvd, Suite 200, Van Nuys, CA 91406-1219 | 2005-06-15 |
| 1225408065 | San Fernando Valley Community Mental Health Center | Community/Behavioral Health | 14660 Oxnard St, Van Nuys, CA 91411-3119 | 2015-10-06 |
| 1487830725 | San Fernando Valley Community Mental Health Center | Community/Behavioral Health | 6931 Van Nuys Blvd, Van Nuys, CA 91405-3937 | 2008-01-17 |
| Street Address |
6501 VAN NUYS BLVD |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91401-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770942385 | Guadalupe Vasquez | Social Worker | 6501 Van Nuys Blvd, Ste. 103, Van Nuys, CA 91401-1425 | 2016-02-11 |
| 1083072284 | Rafael Nava | Community Health Worker | 6501 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2016-02-02 |
| 1093182354 | Ronald King | Community/Behavioral Health | 6501 Van Nuys Blvd, Suite 103, Van Nuys, CA 91401-1425 | 2015-08-21 |
| 1972636694 | Vivian Onyemaechi Ikediashi-akomah | Counselor | 6501 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2007-03-13 |
| 1538299680 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 6501 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865237 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 14711 Gilmore St, Van Nuys, CA 91411-1595 | 2020-03-10 |
| 1255835807 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6464 Sylmar Ave, Van Nuys, CA 91401-1433 | 2018-03-20 |
| 1053815795 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13400 Erwin St, Van Nuys, CA 91401-3014 | 2018-03-19 |
| 1679077333 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6238 Noble Ave, Van Nuys, CA 91411-2026 | 2018-03-19 |
| 1790289437 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6900 Calhoun Ave, Van Nuys, CA 91405-3209 | 2018-03-19 |
| 1902300650 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13619 Kittridge St, Van Nuys, CA 91401-1113 | 2018-03-19 |
| 1912401662 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 7150 Hazeltine Ave, Van Nuys, CA 91405-3244 | 2018-03-19 |
| 1588820286 | Rachel Mathai | Psychiatry & Neurology | 8100 Balboa Pla, Van Nuys, CA 91406 | 2008-08-01 |
| 1932365632 | Cyril Mathai | Psychiatry & Neurology | 8100 Balboa Place, Van Nuys, CA 91406 | 2008-08-01 |
| 1023148970 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14550 Sherman Way, Van Nuys, CA 91405-2210 | 2007-03-07 |
| Find all providers in VAN NUYS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.