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SOURCE 1 BEHAVIORAL SERVICES, LLC
NPI 1356016539
Community/Behavioral Health in San Pedro, CA

Active since August 10, 2021
222 W 6TH ST STE 400, SAN PEDRO, CA 90731(562) 708-7639 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 10, 2021 (2 updates tracked since 2021).

About Source 1 Behavioral Services, Llc NPPES

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

SOURCE 1 BEHAVIORAL SERVICES, LLC (NPI 1356016539) is a healthcare organization registered as a community/behavioral health in San Pedro, California and active in the NPI registry since August 2021. The organization lists Danielle Marie Baker, Executive Director/owner, as its authorized official.

NPPES Registry Identity

NPI1356016539
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOURCE 1 BEHAVIORAL SERVICES, LLC
Location Address222 W 6TH ST STE 400San Pedro, CA 90731-3345
Mailing Address222 W 6th St Ste 400San Pedro, CA 90731-3345 · (562) 708-7639
Phone(562) 708-7639
Organization SubpartNo
Authorized OfficialDanielle Marie BakerExecutive Director/owner · (562) 708-7639
Enumeration DateAugust 10, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1356016539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
222 W 6TH ST STE 400, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 7

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

MRS. GRISELDA ZERMINO MENTAL HEALTH, LMFT
Marriage & Family Therapist
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (310) 221-0463
LEILANI M. SHARPE M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (310) 707-2500
TRUST THE ABILITY FAMILY COUNSELING A PROFESSIONAL CORPORATION
Marriage & Family Therapist
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (310) 221-0463
WEST COAST DIAGNOSTIC SERVICES
Clinical Medical Laboratory
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (800) 851-2607
KERRY HENRY MACCINI RN
Registered Nurse
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (253) 365-1075
CONNECT WITH CARE, LLC
In Home Supportive Care
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (562) 888-4233
CARING ANGELS HOME CARE LLC
Home Health
222 W 6TH ST STE 400
SAN PEDRO, CA 90731
Los Angeles County (310) 880-1931

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 Source 1 Behavioral Services, LLC's NPI number?

The NPI number for Source 1 Behavioral Services, LLC is 1356016539. It was assigned to this organization in the NPPES registry on August 10, 2021.

Where is Source 1 Behavioral Services, LLC located?

Source 1 Behavioral Services, LLC is located at 222 W 6th St Ste 400, San Pedro, CA 90731. The listed phone number is (562) 708-7639.

What is Source 1 Behavioral Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Source 1 Behavioral Services, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.