OrganizationActive
California State University Northridge
NPI 1144698564 · Mental Illness Community Based Residential Treatment Facility · Lancaster, CA
Provider details
- NPI number
- 1144698564
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Brooks, Field Consultant Liaison Sw Dept(310) 351-1809
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5300 W Avenue I
Lancaster, CA 93536-8312
Phone: (661) 940-4122
Street-level locationGet directions
Mailing address
18111 Nordhoff St
Northridge, CA 91330-8226
Registry dates
- Enumerated
- 2015-09-02
- Last updated
- 2015-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.