| Alcott Center For Mental Health Services | |
|
10559 Jefferson Blvd. Suites A, D, E Culver City CA 90232-9023 | |
| (310) 785-2121 | |
| (310) 553-6052 |
| Full Name | Alcott Center For Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 10559 Jefferson Blvd., Culver City, California |
| Authorized Official Name and Position | Kristin L Rangel (DIRECTOR OF PROGRAMS) |
| Authorized Official Contact | 3107852121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcott Center For Mental Health Services 10549 Jefferson Blvd Culver City CA 90232-3513 Ph: (310) 785-2121 | Alcott Center For Mental Health Services 10559 Jefferson Blvd. Suites A, D, E Culver City CA 90232-9023 Ph: (310) 785-2121 |
| NPI Number | 1942338090 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 2062544554 |
|---|---|
| Medicare Enrollment ID | O20100720000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942338090 | NPI | - | NPPES |
| 7229 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristin L Rangel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073648523 PECOS PAC ID: 7113059619 Enrollment ID: I20100721000091 |
| Provider Name | Emily A Bost-baxter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013063478 PECOS PAC ID: 8224216577 Enrollment ID: I20120625000545 |
| Provider Name | Aryeh L Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922499128 PECOS PAC ID: 7012261779 Enrollment ID: I20181115000915 |
| Provider Name | Daniel Abraham Duel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184100752 PECOS PAC ID: 0941624415 Enrollment ID: I20200914002065 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20210517002643 |
| Provider Name | Brittney Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609153584 PECOS PAC ID: 9537554829 Enrollment ID: I20220323002952 |
| Provider Name | Jennifer Anne Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144596586 PECOS PAC ID: 1759749971 Enrollment ID: I20230621000994 |
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