ADOLESCENT GROWTH, INC — NPI 1154536209 (Licensed & Credentialed Psychiatric Residential Treatment Facility in COMMERCE, CA)

CMS-1500 Box 24J / 33a • NPI

1154536209

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

323P00000X

Licensed & Credentialed Psychiatric Residential Treatment Facility

Box 32 Service Location & ZIP+4

6323 ZINDELL AVE, COMMERCE, CA, 90040-3830

✓ 9-Digit EDI 837 ZIP+4 (90040-3830)

Practice Phone & Referral Fax

(888) 948-9998

Fax: (888) 948-9998

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1154536209 (ADOLESCENT GROWTH, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1154536209` (NPI-2 Organization / Facility)
Provider / Legal Name	ADOLESCENT GROWTH, INC
Plain-English Specialty	Licensed & Credentialed Psychiatric Residential Treatment Facility NUCC Code: `323P00000X` (Psychiatric Residential Treatment Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6323 ZINDELL AVE, COMMERCE, CA, 90040-3830
Practice Telephone / Fax	Tel: (888) 948-9998 \| Fax: (888) 948-9998
Administrative Mailing Address	60 N LOTUS AVE, PASADENA, CA, 91107-3811
Enumeration & Last Sync	Enumerated: 2007-05-11 \| CMS Record Updated: 2024-03-31
Authorized Official	JOHN LEWIS (Chief Financial Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6323 ZINDELL AVE, COMMERCE, CA, 90040-3830

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Plain-English Taxonomy & CMS Crosswalk (323P00000X)

What Does Taxonomy Code 323P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 323P00000X translates to:
"Licensed & Credentialed Psychiatric Residential Treatment Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychiatric Residential Treatment Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADOLESCENT GROWTH, INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`3245S0500X` — Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children Plain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children	State: N/A \| License: `Verified` \| Primary: Secondary

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ADOLESCENT GROWTH, INC (NPI #1154536209)