ACORN FAMILY GUIDANCE CENTER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION


Address: 12777 W Jefferson Blvd, Building D, Suite 300, Los Angeles, CA 90066-7048
Phone: 4242892725

ACORN FAMILY GUIDANCE CENTER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION (NPI# 1356880462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356880462
Entity Type Organization
Organization Name ACORN FAMILY GUIDANCE CENTER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice Address 12777 W Jefferson Blvd
Building D, Suite 300
Los Angeles
CA 90066-7048
Practice Telephone 4242892725
Mailing Telephone 4242892725
Enumeration Date 2017-02-22
Last Update Date 2017-02-22
Authorized Official Name DR. CARIN LAUE (CLINICAL CHILD PSYCHOLOGIST)
Authorized Official Telephone 4242892725
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health PSY28903 CA Agencies

Office Location

Street Address 12777 W JEFFERSON BLVD
BUILDING D, SUITE 300
City LOS ANGELES
State CA
Zip Code 90066-7048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407264609 Carin Laue Psychologist 12777 W Jefferson Blvd, Building D, Suite 300, Los Angeles, CA 90066-7048 2014-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194330274 Marilyn S Zweifach Psychologist 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1073167458 Rosario Tabares Marriage & Family Therapist 4173 Inglewood Blvd., Los Angeles, CA 90066 2019-07-24
1396200739 Ruzziel Pio Licensed Vocational Nurse 4344 Harding Avenue, Los Angeles, CA 90066 2019-02-08
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1174015622 Nicole Hiorns Occupational Therapist 11605 Washington Place, Los Angeles, CA 90066 2018-05-31
1225549934 Gary Sattler Psychoanalyst 3133 Federal Ave., Los Angeles, CA 90066 2017-10-20
1669991568 Nexus Recovery Services, LLC Clinic/Center 11515 Washington Blvd, Culver City, CA 90066 2017-09-12
1336669381 Andrea Michelle Bakke Dentist 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1659820686 Pegah Ghassemi Bakhtiari Dds Inc Dentist 12756 West Washington Blvd, Los Angeles, CA 90066 2016-10-03
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740881861 Griselda Tuchan Pineda Marriage and Family Therapist Inc Community/Behavioral Health 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 2020-11-04
1376142216 Melissa Reyes Aguilar Community/Behavioral Health 2248 S Cochran Ave, Los Angeles, CA 90016-1218 2020-10-21
1841807666 Didi Hirsch Psychiatric Service Community/Behavioral Health 10101 S Broadway, Los Angeles, CA 90003-4534 2020-09-25
1730795188 Connect Therapies Community/Behavioral Health 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 2020-09-21
1396358735 United Therapy Center,inc Community/Behavioral Health 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 2020-08-25
1174149769 Amanecer Community Counseling Service, A Non-profit Corporation Community/Behavioral Health 3750 W 6th St, Los Angeles, CA 90020-5100 2020-06-19
1902421290 Exceptional Wellness of California Incorporated Community/Behavioral Health 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 2020-06-11
1043831878 Didi Hirsch Psychiatric Service Community/Behavioral Health 9179 S Main Street, Los Angeles, CA 90003 2020-05-04
1780226977 Children's Institute, Inc. Community/Behavioral Health 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 2019-10-09
1780238675 Igcn Healthcare Partners Community/Behavioral Health 6153 Colgate Ave, Los Angeles, CA 90036-3127 2019-07-29
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Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

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.

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