OrganizationActive
Hillsides
NPI 1639613821 · Mental Illness Community Based Residential Treatment Facility · Pasadena, CA
Provider details
- NPI number
- 1639613821
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Hillsides
- Organization subpart
- Yes
- Authorized official
- Marisol Lara, Qa Manager Administration(323) 254-2274
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
940 Avenue 64
Pasadena, CA 91105-2711
Phone: (323) 254-2274
Approximate (ZIP-level) locationGet directions
Mailing address
940 Avenue 64
Pasadena, CA 91105-2711
Other names (DBA / former)
- Other name
- Hillsides Outpatient
- Other name
- Hillsides Outpatient
- Other name
- Residential
Registry dates
- Enumerated
- 2016-12-07
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.