DIDI HIRSCH PSYCHIATRIC SERVICE (NPI# 1780715771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780715771 |
| Entity Type | Organization |
| Organization Name | DIDI HIRSCH PSYCHIATRIC SERVICE |
| Other Organization Name | DIDI HIRSCH CMHC-MAR VISTA |
| Practice Address |
12420 Venice Blvd Suite 200 Los Angeles CA 90066-3840 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 3107511200 |
| Practice Fax Number | 3103980312 |
| Mailing Telephone | 3103906612 |
| Mailing Fax Number | 3103985690 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | DR. KITA CURRY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3107515423 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Didi Hirsch CMHC-Mar Vista | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1831758242 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 8515 Kansas Ave, Los Angeles, CA 90044-3496 | 2019-06-10 |
| 1942792700 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 2726 Francis Ave Rm 16, Los Angeles, CA 90005-1252 | 2018-06-06 |
| 1225535925 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 4091 W 139th St Rm 1, Hawthorne, CA 90250-7303 | 2018-04-09 |
| 1376044990 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 11800 Texas Ave, Los Angeles, CA 90025-1402 | 2018-02-28 |
| 1194035238 | Didi Hirsch Psychiatric Service | Early Intervention Provider Agency | 10277 W Olympic Blvd, Los Angeles, CA 90067-7005 | 2010-10-07 |
| 1831408509 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 2000 E 4th St Ste 201, Santa Ana, CA 92705-3907 | 2010-09-29 |
| 1467583518 | Didi Hirsch Psychiatric Service | Community Based Residential Treatment Facility, Mental Illness | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2007-03-08 |
| 1023149077 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 11133 Washington Blvd, Culver City, CA 90232-3918 | 2007-03-08 |
| Street Address |
12420 VENICE BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679641146 | Selvana Sorour | Dentist | 12420 Venice Blvd, Los Angeles, CA 90066-3840 | 2006-12-01 |
| 1669847786 | Eboni S Williams | Counselor | 12420 Venice Blvd, Suite 200, Los Angeles, CA 90066-3840 | 2015-12-02 |
| 1932504503 | Shahab Parsa | Dentist | 12420 Venice Blvd, Los Angeles, CA 90066-3840 | 2014-10-25 |
| 1285065789 | Alessandra Giampaolo | Marriage & Family Therapist | 12420 Venice Blvd, Los Angeles, CA 90066-3840 | 2013-12-09 |
| 1760817662 | Amber Helmstetter | Counselor | 12420 Venice Blvd, Los Angeles, CA 90066-3840 | 2013-09-10 |
| 1649610981 | Anna Sorenson Treves | Social Worker | 12420 Venice Blvd, Los Angeles, CA 90066-3840 | 2013-07-01 |
| 1629327879 | Davet Nicole Williams | Marriage & Family Therapist | 12420 Venice Blvd, Ste #200, Los Angeles, CA 90066-3840 | 2012-09-04 |
| 1033489422 | Shabnam Shirazian Casey | Social Worker | 12420 Venice Blvd, Suite 200, Los Angeles, CA 90066-3840 | 2012-01-03 |
| 1174808893 | Cecilia Calderon | Marriage & Family Therapist | 12420 Venice Blvd, Suite 200, Los Angeles, CA 90066-3840 | 2011-10-13 |
| 1205124781 | Nataly Seka Cohen | Social Worker | 12420 Venice Blvd, Los Angeles, CA 90066-3840 | 2011-07-18 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90066 | ||||
| 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] |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on DIDI HIRSCH PSYCHIATRIC SERVICE.
| 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.