EMQ HOLLYGROVE NPI 1003003542

Community/Behavioral Health in Los Angeles, CA

Organization Community/Behavioral Health

About EMQ HOLLYGROVE

Emq Hollygrove is a provider established in Los Angeles, California specializing in community/behavioral health. The NPI number of Emq Hollygrove is 1003003542 and was assigned on September 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Shawn Caracoza (Director)

NPI

1003003542

Provider NameEMQ HOLLYGROVE
Provider Location Address815 N EL CENTRO AVE LOS ANGELES, CA 90038
Provider Mailing Address815 N EL CENTRO AVE LOS ANGELES, CA 90038
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-28-2007
Last Update Date02-05-2013

Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

EMQ HOLLYGROVE
815 N EL CENTRO AVE
LOS ANGELES, CA
ZIP 90038
Phone: (323) 463-2119
Fax: (323) 463-0619

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Mailing Address

EMQ HOLLYGROVE
815 N EL CENTRO AVE
LOS ANGELES, CA
ZIP 90038
Phone: (323) 463-2119
Fax: (323) 463-0619

Authorized Official

Authorized Official Name SHAWN CARACOZA
Authorized Official TitleDIRECTOR
Authorized Official Phone(323) 463-2119

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033263132 HUGO CHACON MHRS
Individual
Case Manager/Care Coordinator815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1033304068MISS ESMERALDA TERESA HERNANDEZ
Individual
Marriage & Family Therapist815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 344-5536
1265650915MR. RYAN DAVID LITTLE
Individual
Counselor (Mental Health)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1275689424MRS. VANESSA CASTRO MA,MFTI
Individual
Marriage & Family Therapist815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1275739401EMQ HOLLYGROVE
Organization
Residential Treatment Facility, Emotionally Disturbed Children815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1316073810EASTFIELD MING QUONG INC.
Organization
Community/Behavioral Health815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1376661637MR. SHAWN CARACOZA LCSW
Individual
Social Worker (Clinical)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 769-7115
1386779015DR. SANDRA LYONS ROWE PH.D.
Individual
Psychologist (Clinical)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1427196179MS. KYLEAN WEAVER M.A.
Individual
Psychologist (Clinical Child & Adolescent)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 769-7150
1588850077 DANA JOHNSON MSW
Individual
Social Worker815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1598898025 ALICIA ARREGUIN LCSW
Individual
Social Worker (Clinical)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(559) 446-3058
1609921626MISS DANA ANGELA ROSE M.A.
Individual
Marriage & Family Therapist815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1710018049 EVELYN MARIE VAZQUEZ MSW
Individual
Social Worker815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 769-7137
1780700443DR. SHARON ZEBRACK BERG PH.D.
Individual
Psychologist (Clinical)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1790839884 JENNIFER LYNN BARCZYKOWSKI
Individual
Case Manager/Care Coordinator815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1801940358MS. JUDI STADLER LCSW
Individual
Social Worker (Clinical)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1801941257EMQ
Organization
Counselor (Mental Health)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(213) 463-2119
1912038530MR. JOSHUA JAY CISZEK MFT
Individual
Rehabilitation Practitioner815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 463-2119
1932247756 JULIA TAITSEL M.S.W
Individual
Social Worker (Clinical)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 769-7154
1962556985MS. MARY LEE BROUGHER RTC, CTRS
Individual
Counselor (Mental Health)815 N EL CENTRO AVE
LOS ANGELES, CA 90038
(323) 769-7108

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.