PSI HEALTH PARTNERS PC - NPI 1457144180 - Clinic/Center in Los Angeles, CA

Q: What is Psi Health Partners PC's NPI number?

The NPI number for Psi Health Partners PC is 1457144180. It was assigned to this organization in the NPPES registry on May 26, 2025. The provider is doing business as Trip Clinic.

Q: What is Psi Health Partners PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Psi Health Partners Pc NPPES

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

PSI HEALTH PARTNERS PC (NPI 1457144180), doing business as Trip Clinic, is a healthcare organization registered as a mental health (including community mental health center) in Los Angeles, California and active in the NPI registry since May 2025. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Santa Monica, and lists Brooke Balliett, Chief Clinical & Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1457144180

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePSI HEALTH PARTNERS PC

Location Address522 N LARCHMONT BLVDLos Angeles, CA 90004-1306

Mailing Address522 N Larchmont BlvdLos Angeles, CA 90004-1306 · (213) 973-7512 · Fax (213) 608-0121

Phone(213) 973-7512

Fax(213) 608-0121

Organization SubpartNo

Authorized OfficialBrooke BalliettChief Clinical & Operations Officer · (323) 456-3033

Enumeration DateMay 26, 2025

NPPES CertifiedMay 26, 2025

✔ NPI 1457144180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

522 N LARCHMONT BLVD, Los Angeles, CA 90004

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Other Names 1

Doing Business AsTrip Clinic

Secondary Practice Location 1

Location 11301 20th St Ste 540Santa Monica, CA 90404-2118 · Phone (310) 341-2882

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2326495

Psi Health Partners, PC Dba Trip Clinic · Santa Monica, CA

Active · expires Jul 2, 2027

CLIA Number05D2326495

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2025

Certificate Expiration DateJuly 2, 2027

Laboratory DirectorKeith G. Heinzerling

Laboratory Phone(310) 341-2882

Laboratory LocationPsi Health Partners, PC Dba Trip Clinic1301 20th Street, Suite 540, Santa Monica, CA 90404

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2325757

Psi Health Partners, PC Dba Trip Clinic · Los Angeles, CA

Active · expires Jun 18, 2027

CLIA Number05D2325757

Laboratory TypePhysician Office

Certificate Effective DateJune 19, 2025

Certificate Expiration DateJune 18, 2027

Laboratory DirectorKeith G. Heinzerling

Laboratory Phone(310) 341-2882

Laboratory LocationPsi Health Partners, PC Dba Trip Clinic522 N Larchmont Blvd, Los Angeles, CA 90004

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

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