Mr Jonathan Wesley, PSYD, MFT | |
11536 Otsego St, North Hollywood, CA 91601-3625 | |
(818) 506-1236 | |
Not Available |
Full Name | Mr Jonathan Wesley |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 11536 Otsego St, North Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558542043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MFC 25222 (California) | Primary |
Entity Name | Psych Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811455306 PECOS PAC ID: 0840639746 Enrollment ID: O20240411001868 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Wesley, PSYD, MFT 11536 Otsego St, North Hollywood, CA 91601-3625 Ph: (818) 506-1236 | Mr Jonathan Wesley, PSYD, MFT 11536 Otsego St, North Hollywood, CA 91601-3625 Ph: (818) 506-1236 |
Russell Shuben, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, 1 B, North Hollywood, CA 91605 Phone: 818-763-1718 Fax: 818-763-7231 | |
Dolores Estrada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-755-8786 | |
Aria Wainwright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323 | |
Johnny Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323 | |
Marco Pardo, CATC-IV Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323 Fax: 818-985-4297 | |
Tyneece Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11027 Burbank Blvd, North Hollywood, CA 91601 Phone: 818-985-8323 | |
Ms. Sherisa Lynnette Dahlgren, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-755-8786 |