PROVIDENCE COMMUNITY SERVICES (NPI# 1063831931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063831931 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE COMMUNITY SERVICES |
| Practice Address |
21550 Oxnard St 3rd Floor Woodland Hills CA 91367-7100 |
| Mailing Address |
4281 Katella Ave Suite #201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 5624675577 |
| Practice Fax Number | 5624675553 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | MICHELLE MOLNAR (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5624675577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973073 | Providence Community Services | Community/Behavioral Health | 41 Crystal St, Apt 4, East Stroudsburg, PA 18301-2874 | 2015-06-02 |
| 1386063055 | Providence Community Services | Counselor | 2425 Olympic Blvd, Suite #4000-w, Santa Monica, CA 90404-4030 | 2014-04-10 |
| 1699194209 | Providence Community Services | Counselor | 2600 Michelson Dr, Suite #1700, Irvine, CA 92612-1550 | 2014-04-10 |
| 1124447750 | Providence Community Services | Counselor | 1140 W. Bernardo Court, Suite #300, San Diego, CA 92127 | 2014-04-10 |
| 1205255825 | Providence Community Services | Counselor | 500 N State College Blvd, Suite #1100, Orange, CA 92868-1604 | 2014-04-10 |
| 1245659135 | Providence Community Services | Counselor | 16755 Von Karman Ave, Suite #300, Irvine, CA 92606-4930 | 2014-04-08 |
| 1053730945 | Providence Community Services | Counselor | 18101 Von Karman Ave, 3rd Floor, Irvine, CA 92612-1012 | 2014-04-08 |
| 1710306600 | Providence Community Services | Counselor | 26632 Towne Centre Dr, Suite #300, Foothill Ranch, CA 92610-2813 | 2014-04-08 |
| 1255754784 | Providence Community Services | Social Worker | 3890 11th. Street, Suite 118, Riverside, CA 92501 | 2014-02-04 |
| 1902229347 | Providence Community Services | Social Worker | 1355 S. Grand Ave., Suite 2450, Los Angeles, CA 90071-3500 | 2014-01-21 |
| Street Address |
21550 OXNARD ST 3RD FLOOR |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724984 | Pamela Mcnair | Counselor | 5525 Oakdale Ave Ste 410, Woodland Hills, CA 91364-2673 | 2020-09-08 |
| 1184250300 | Craig Baker | Counselor | 265 S Woodland Hills Dr, Woodland Hills, UT 84653-2003 | 2020-03-19 |
| 1871125492 | Larry Allen Stone | Counselor | 4701 Deseret Dr, Woodland Hills, CA 91364-3721 | 2020-02-11 |
| 1306318555 | New Direction for Wellness Center | Counselor | 5855 Topanga Canyon Blvd Ste 510, Woodland Hills, CA 91367-4681 | 2018-12-28 |
| 1659725943 | Raina Krell | Counselor | 22111 Independencia St, Woodland Hills, CA 91364-5025 | 2016-04-22 |
| 1881055390 | Innerchange Opi | Counselor | 21051 Warner Center Ln, Suite 105, Woodland Hills, CA 91367-6551 | 2016-03-10 |
| 1215304274 | Erinn Shmaeff | Counselor | 22103 Burbank Blvd Unit 1, Woodland Hills, CA 91367-6207 | 2015-08-26 |
| 1801298831 | Carrie Bican | Counselor | 23371 Mulholland Dr # 286, Woodland Hills, CA 91364-2734 | 2014-09-22 |
| 1740603877 | Karla Roldan | Counselor | 6267 Variel Ave Ste B, Woodland Hills, CA 91367-2512 | 2014-01-24 |
| 1154761799 | Alex Johnnie Bunch | Counselor | 23147 Ventura Blvd, Woodland Hills, CA 91364-1112 | 2013-06-27 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
Please comment or provide details below to improve the information on PROVIDENCE COMMUNITY SERVICES.
| 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.