SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER (NPI# 1912037060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912037060 |
| Entity Type | Organization |
| Organization Name | SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | SFV EAST VALLEY CMHC-MCDONALD CAREY |
| Practice Address |
11631 Victory Blvd #203 North Hollywood CA 91606-3572 |
| Mailing Address |
16360 Roscoe Blvd Suite 200 Van Nuys CA 91406-1219 |
| Practice Telephone | 8189083855 |
| Practice Fax Number | 8187535265 |
| Mailing Telephone | 8189014830 |
| Mailing Fax Number | 8187853446 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | TIMOTHY RYDER (PRESIDENT) |
| Authorized Official Telephone | 8189014830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0591483 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER | 000007177 | 01 |
| Other Name | Type Code |
|---|---|
| SFV CMHC MACDONALD CAREY E VLY | Doing Business As Name - Organization |
| SFV East Valley CMHC-McDonald Carey | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411609 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 13143 Bassett St, North Hollywood, CA 91605-4726 | 2007-03-07 |
| 1023148970 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14550 Sherman Way, Van Nuys, CA 91405-2210 | 2007-03-07 |
| 1366572224 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14624 Sherman Cir, Suite 502 and 508, Van Nuys, CA 91405-2241 | 2007-03-07 |
| 1295865335 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 16650 Sherman Way, Van Nuys, CA 91406-3782 | 2007-03-07 |
| 1710018403 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 6930 Bevis Street, Van Nuys, CA 91405-3844 | 2007-03-07 |
| 1841320793 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 11565 N Laurel Canyon Blvd, Suites 100,102,114,116,117, Mission Hills, CA 91340-4168 | 2007-03-07 |
| 1588794747 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 14545 Sherman Cir, Van Nuys, CA 91405-3087 | 2007-03-06 |
| 1013047281 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 6501 Van Nuys Blvd, Van Nuys, CA 91401-1425 | 2007-03-06 |
| 1164427316 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 16360 Roscoe Blvd, Suite 200, Van Nuys, CA 91406-1219 | 2005-06-15 |
| 1225408065 | San Fernando Valley Community Mental Health Center | Community/Behavioral Health | 14660 Oxnard St, Van Nuys, CA 91411-3119 | 2015-10-06 |
| Street Address |
11631 VICTORY BLVD #203 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457996555 | Josefina Jones | Licensed Vocational Nurse | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2019-11-12 |
| 1104399344 | Julie Ann Berzon | Marriage & Family Therapist | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2019-01-10 |
| 1205240017 | Nesyah Shaesteh | Family Medicine | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2014-06-19 |
| 1710115340 | Comptonmed Inc | Anesthesiology | 11631 Victory Blvd, Suite 204, North Hollywood, CA 91606-3572 | 2009-06-22 |
| 1770728321 | Tami Reed | Counselor | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2008-12-11 |
| 1407987613 | Palmer Todd | Marriage & Family Therapist | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-08 |
| 1891826525 | Stephen Merrill Friend | Marriage & Family Therapist | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-07 |
| 1538290275 | Amanda Kanarik | Rehabilitation Practitioner | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-07 |
| 1275662082 | Liliana Weichold | Counselor | 11631 Victory Blvd, Suite 203, North Hollywood, CA 91606-3572 | 2007-03-05 |
| 1649343138 | Caroline Ramirez Fernandez | Dentist | 11631 Victory Blvd, Suite 102, North Hollywood, CA 91606-3572 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629572375 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 13000 Hart St, North Hollywood, CA 91605-4801 | 2018-03-19 |
| 1821128950 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 5519 Elmer Ave, North Hollywood, CA 91601-2412 | 2007-03-07 |
| 1750411609 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 13143 Bassett St, North Hollywood, CA 91605-4726 | 2007-03-07 |
| 1053342675 | Helen I Smith | Psychiatry & Neurology | 11631 Victory Blvd Ste 203, North Hollywood, CA 91606-3572 | 2006-07-05 |
| 1083971162 | Samuel B Lee | Psychiatry & Neurology | 4605 Lankershim Blvd Ste 617, North Hollywood, CA 91602-1856 | 2012-04-13 |
| 1689947251 | Cole Marta | Psychiatry & Neurology | 11159 La Maida St, North Hollywood, CA 91601 | 2012-02-13 |
| 1386775237 | San Fernando Vally Community Mental Health Center | Psychiatry & Neurology | 6400 Laurel Canyon Blvd, Suite 500, North Hollywood, CA 91606-1571 | 2007-03-09 |
| 1013047422 | San Fernando Valley Community Mental Health Center, Inc. | Psychiatry & Neurology | 6400 Laurel Canyon Blvd, Suite 500, North Hollywood, CA 91606-1571 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER.
| 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.