DIXON RECOVERY INSTITUTE, INC. (NPI# 1548498280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548498280 |
| Entity Type | Organization |
| Organization Name | DIXON RECOVERY INSTITUTE, INC. |
| Other Organization Name | DRI/LEIMERT PARK TRI-C |
| Practice Address |
3124 7th Avenue Los Angeles CA 90018-1819 |
| Mailing Address |
4715 Crenshaw Blvd Los Angeles CA 90043-1233 |
| Practice Telephone | 3239883744 |
| Practice Fax Number | 3239889672 |
| Mailing Telephone | 3239883744 |
| Mailing Fax Number | 3239889672 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | RONDA DIXON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3239883744 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | DIXON RECOVERY INSTITUTE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 190622AN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDI-CAL | 197336 | 01 |
| Other Name | Type Code |
|---|---|
| DRI/Leimert Park Tri-C | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265892079 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 1512 W Slauson Ave, Rms. 103, 202 & 210, Los Angeles, CA 90047-1230 | 2016-03-07 |
| 1780814640 | Dixon Recovery Institute, Inc. | Counselor | 4066 W 17th St, Module #1 & 2, Los Angeles, CA 90019-6025 | 2009-07-24 |
| 1013146778 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 7400 W Manchester Ave, Rms 1 & 2, Westchester, CA 90045-2322 | 2009-07-02 |
| 1689858672 | Dixon Recovery Institute, Inc. | Counselor | 4715 Crenshaw Blvd, 2nd Floor, Los Angeles, CA 90043-1233 | 2007-12-26 |
| 1235369745 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 325 E 111th St, Multi-purpose Room, Los Angeles, CA 90061-3003 | 2009-07-17 |
| 1104055862 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 1803 Crenshaw Blvd, Los Angeles, CA 90019-6039 | 2009-07-02 |
| 1184859548 | Dixon Recovery Institute, Inc. | Community/Behavioral Health | 325 E 111th St, Rms. 241 & 327, Los Angeles, CA 90061-3003 | 2009-05-28 |
| Street Address |
3124 7TH AVENUE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90018-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753429 | Gilda Panales | Behavioral Analyst | 2919 1/2 South Bronson Ave, Los Angeles, CA 90018 | 2018-06-14 |
| 1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
| 1598292351 | Brittney Shanice Hinton | Counselor | 3125 W Adams Blvd, #9, Los Angeles, CA 90018 | 2017-05-11 |
| 1639556632 | Erica Gladden | Radiologic Technologist | 2923 South Dalton Ave, Los Angeles, CA 90018 | 2015-04-29 |
| 1881085942 | Tanisha Merriweather | Counselor | 3521 11th Ave, Los Angeles, CA 90018 | 2015-02-11 |
| 1790088763 | Richard Windom | Counselor | 1361 Exposition Blvd., Los Angeles, CA 90018 | 2010-12-14 |
| 1790095214 | Donielle Spencer | Rehabilitation Practitioner | 1968 W Adams Blvd., Ste 101, Los Angeles, CA 90018 | 2010-10-18 |
| 1780906404 | Earl Cooper | Internal Medicine | 2424 8th Ave., Los Angeles, CA 90018 | 2010-02-22 |
| 1295066207 | Gilda Beatriz Gomez | Rehabilitation Practitioner | 2116 Arlington Ave. Suite 200, Los Angeles, CA 90018 | 2010-01-15 |
| 1922332899 | Roberto Carlos Cisnerso | Counselor | 2357 W. 30th St., Los Angeles, CA 90018 | 2009-09-25 |
| Find all providers in zip 90018 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
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| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
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| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90018 |
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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.