Organization · Type 2 NPI

Hillsides

Mental Illness Community Based Residential Treatment Facility · Pasadena, CA

NPI number 1639613821 Active

Practice location

940 Avenue 64
Pasadena, CA 91105-2711

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

579 other providers at this address

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NPI record

NPI: 1639613821
Entity type: Organization (Type 2)
Issued: Dec 7, 2016
Last updated: Feb 10, 2025
Status: Active
Subpart: Yes of Hillsides

Other names

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Hillsides Outpatient · other name
Hillsides Outpatient · other name
Residential · other name

Authorized official

Marisol M Lara
Qa Manager Administration
(323) 254-2274

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639613821

Hillsides's National Provider Identifier is 1639613821, issued on Dec 7, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Pasadena, CA. The record was last updated on Feb 10, 2025.