TRANSFORM PSYCHOTHERAPY APC
NPI 1588248306
Clinic/Center - Mental Health (Including Community Mental Health Center) in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

Active since May 07, 2021

1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025(424) 272-1554 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
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Organization
Clinic/Center
Mental Health (Including Community Menta...

About TRANSFORM PSYCHOTHERAPY APC

This page provides the complete NPI Profile along with additional information for Transform Psychotherapy Apc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1588248306 assigned on May 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Justin Barker Psy.d. (Chief Executive Officer)

NPI: 1588248306 Verify this NPI
Provider Name: TRANSFORM PSYCHOTHERAPY APC
Entity Type: Organization
Location Address: 1849 SAWTELLE BLVD STE 610 LOS ANGELES, CA 90025
Location Phone: (424) 272-1554
Mailing Address: 24 ROSE AVE APT C VENICE, CA 90291
Mailing Phone: (626) 864-6412
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-07-2021
Last Update Date: 05-07-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JUSTIN BARKER PSY.D.
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (424) 272-1554