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CALIFORNIA STATE UNIVERSITY NORTHRIDGE
NPI 1144698564
Community Based Residential Treatment Facility, Mental Illness in Lancaster, CA

Active since September 02, 2015
5300 W AVENUE I, LANCASTER, CA 93536(661) 940-4122 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About California State University Northridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA STATE UNIVERSITY NORTHRIDGE (NPI 1144698564) is a healthcare organization registered as a community based residential treatment facility, mental illness in Lancaster, California and active in the NPI registry since September 2015. The organization lists Tiffany Brooks, Field Consultant Liaison Sw Dept, as its authorized official.

NPPES Registry Identity

NPI1144698564
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCALIFORNIA STATE UNIVERSITY NORTHRIDGE
Location Address5300 W AVENUE ILancaster, CA 93536-8312
Mailing Address18111 Nordhoff StNorthridge, CA 91330-8226 · (818) 677-1200
Phone(661) 940-4122
Organization SubpartNo
Authorized OfficialTiffany BrooksField Consultant Liaison Sw Dept · (310) 351-1809
Enumeration DateSeptember 2, 2015
✔ NPI 1144698564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
5300 W AVENUE I, Lancaster, CA 93536
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTWAIN WILSON
Counselor (Mental Health)
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4052
MONICA CARMONA
Social Worker
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4052
DR. HARRY TAYLOR III PH.D.
Psychologist (Clinical)
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4048
MR. MILTON LEE ISLAND ACSW
Social Worker (Clinical)
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (166) 194-0405
ANTHONY MICHAEL GERA MSW
Social Worker
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4025
CHALLENGER
Community Based Residential Treatment Facility, Mental Illness
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4055
JENNIFER BOEHMKE MFT INTERN
Marriage & Family Therapist
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4055
CHALLENGER
Community Based Residential Treatment Facility, Mental Illness
5300 W AVENUE I
LANCASTER, CA 93536
Los Angeles County (661) 940-4025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California State University Northridge's NPI number?

The NPI number for California State University Northridge is 1144698564. It was assigned to this organization in the NPPES registry on September 2, 2015.

Where is California State University Northridge located?

California State University Northridge is located at 5300 W Avenue I, Lancaster, CA 93536. The listed phone number is (661) 940-4122.

What is California State University Northridge's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for California State University Northridge was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.