DIDI HIRSCH (NPI# 1720111297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720111297 |
| Entity Type | Organization |
| Organization Name | DIDI HIRSCH |
| Practice Address |
1007 Myrtle Ave Inglewood CA 90301-4009 |
| Mailing Address |
14005 Arthur Ave Apt 10 Paramount CA 90723-2270 |
| Practice Telephone | 3104124191 |
| Practice Fax Number | 3104123942 |
| Mailing Telephone | 5626347111 |
| Mailing Fax Number | 5626347111 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROD A SMITH (COUNSELOR) |
| Authorized Official Telephone | 5626347111 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 32 | 32 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721804 | Didi Hirsch | Counselor | 1233 S La Cienega Blvd, Los Angeles, CA 90035-2520 | 2016-10-21 |
| 1710174149 | Didi Hirsch | Community/Behavioral Health | 12420 Venice Blvd, 200, Los Angeles, CA 90066-3840 | 2007-10-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIDI HIRSCH COMMUNITY MENTAL HEALTH CENTER | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 |
| Street Address |
1007 MYRTLE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467583518 | Didi Hirsch Psychiatric Service | Community Based Residential Treatment Facility, Mental Illness | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2007-03-08 |
| 1003379405 | Armando Javier Rivera Rivera | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2019-04-11 |
| 1972097665 | Edith Collazo | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301 | 2018-06-18 |
| 1295232551 | Adriana Elena Gramsas | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2018-04-12 |
| 1407365976 | Hannah Zimmermann | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2017-09-27 |
| 1982139028 | Michele Denise Hassan Ferguson | Licensed Vocational Nurse | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2017-04-26 |
| 1982159513 | Erica Sutton | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-08-24 |
| 1275088726 | Lawrence Aladiume | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-08-24 |
| 1417305855 | Trevin Richardson | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-05-26 |
| 1437504982 | Jazmin Meshea Johnson | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
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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.