ETHAN MICHAEL TREVIS
NPI 1205119286
Clinic/Center - Adolescent and Children Mental Health in Downey, CA

Active since September 26, 2011
10927 DOWNEY AVE, DOWNEY, CA 90241(562) 869-9770 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2021, Aug 7, 2020 (2 updates tracked since 2020).

About Ethan Michael Trevis NPPES

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

ETHAN MICHAEL TREVIS (NPI 1205119286) is an individual adolescent and children mental health provider in Downey, California and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1205119286
Entity TypeIndividualMale
Primary Taxonomy261QM0855X
Provider Legal NameETHAN MICHAEL TREVIS
Location Address10927 DOWNEY AVEDowney, CA 90241-3739
Mailing Address10927 Downey Ave Ste CDowney, CA 90241-3739 · (562) 450-3304
Sole ProprietorYes
Enumeration DateSeptember 26, 2011
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
NPI 1205119286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
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.
10927 DOWNEY AVE, Downey, CA 90241

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
10927 DOWNEY AVE, SUITE C
DOWNEY, CA 90241
Social Worker (Clinical)
10927 DOWNEY AVE, STE C
DOWNEY, CA 90241

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 Ethan Trevis's NPI number?

The NPI number for Ethan Trevis is 1205119286. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Ethan Trevis located?

Ethan Trevis practices at 10927 Downey Ave, Downey, CA 90241. The listed phone number is (562) 869-9770.

What is Ethan Trevis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Ethan Trevis was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.