Organization · Type 2 NPI

Hillsides

Adolescent and Children Mental Health Clinic/Center · South Pasadena, CA

NPI number 1902920176 Active

Practice location

149 Pasadena Ave Ste A
South Pasadena, CA 91030-3351

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

38 other providers at this address

NPI record

NPI: 1902920176
Entity type: Organization (Type 2)
Issued: Mar 16, 2007
Last updated: Jan 4, 2021
Status: Active
Subpart: Yes of Hillsides

Other names

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Hillsides Family Resource Center · other name
Hillsides Family Resource Center · other name

Authorized official

Stacey Roth, LCSW
Chief Executive Officer
(323) 543-2800

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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 1902920176

Hillsides's National Provider Identifier is 1902920176, issued on Mar 16, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in South Pasadena, CA. The record was last updated on Jan 4, 2021.