SHIELDS FOR FAMILIES (NPI# 1871941443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871941443 |
| Entity Type | Organization |
| Organization Name | SHIELDS FOR FAMILIES |
| Practice Address |
9307 S Central Ave Los Angeles CA 90002-2017 |
| Mailing Address |
11601 S Western Ave Los Angeles CA 90047-5006 |
| Practice Telephone | 3235646982 |
| Practice Fax Number | 3235645970 |
| Mailing Telephone | 3232425000 |
| Mailing Fax Number | 3232425011 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | DR. KATHYRN ICENHOWER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3232425000 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 19MU | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578800280 | Shields for Families | Community/Behavioral Health | 11705 Deputy Yamamoto Pl Ste A, Lynwood, CA 90262-4031 | 2013-01-15 |
| 1376778860 | Shields for Families | Community/Behavioral Health | 2620 Industry Way Ste E-f, Lynwood, CA 90262-4024 | 2009-05-27 |
| 1003041591 | Shields for Families | Community/Behavioral Health | 2620 Industry Way Ste A, F, Lynwood, CA 90262-4042 | 2009-05-27 |
| 1477759603 | Shields for Families | Substance Abuse Rehabilitation Facility | 801 W 70th St, Los Angeles, CA 90044-5218 | 2007-06-25 |
| 1558492454 | Shields for Families | Social Worker | 12714 Avalon Blvd Ste 109, Los Angeles, CA 90061-2730 | 2007-03-09 |
| 1003948837 | Shields for Families | Case Management | 12021 S. Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2007-03-09 |
| 1407987480 | Shields for Families | Case Management | 105 W Victoria St # 106, Long Beach, CA 90805-2162 | 2007-03-08 |
| 1437695566 | Shields for Families | Community/Behavioral Health | 3584 Martin Luther King Jr Blvd, Lynwood, CA 90262-2050 | 2017-01-12 |
| 1326468836 | Shields for Families | Community/Behavioral Health | 11705 Deputy Yamamoto Pl Ste B, Lynwood, CA 90262-4031 | 2014-04-23 |
| 1962832931 | Shields for Families | Substance Abuse Rehabilitation Facility | 801 W 70th St, Los Angeles, CA 90044-5218 | 2013-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHIELDS FOR FAMILIES | 11601 S Western Ave, Los Angeles, CA 90047-5006 |
| Street Address |
9307 S CENTRAL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174790216 | Fred Johnson Jr. | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2008-05-08 |
| 1689294365 | Kimathy Phelps | Technician, Other | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2020-04-22 |
| 1538517925 | Rosslyn Rugley | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-26 |
| 1982052288 | Narciso Hernandez | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-26 |
| 1558719930 | Marisol Leyva | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-26 |
| 1609224096 | Ella Todd | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-26 |
| 1205284684 | Teresa Howser | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-26 |
| 1720436116 | Alison Quals | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2016-05-26 |
| 1952727802 | Joanna Corona | Counselor | 9307 S Central Ave, Los Angeles, CA 90002-2017 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| 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 | 90002 |
Please comment or provide details below to improve the information on SHIELDS FOR FAMILIES.
| 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.