| Eb Psychotherapy, Inc | |
|
2001 S Barrington Ave Ste 314 Los Angeles CA 90025-5379 | |
| (310) 999-9683 | |
| (213) 261-9887 |
| Full Name | Eb Psychotherapy, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2001 S Barrington Ave Ste 314, Los Angeles, California |
| Authorized Official Name and Position | Eleni Bagourdi (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3109999683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eb Psychotherapy, Inc 2001 S Barrington Ave Ste 314 Los Angeles CA 90025-5379 Ph: (310) 999-9683 | Eb Psychotherapy, Inc 2001 S Barrington Ave Ste 314 Los Angeles CA 90025-5379 Ph: (310) 999-9683 |
| NPI Number | 1699009753 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 8527107705 |
|---|---|
| Medicare Enrollment ID | O20091201000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699009753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY22542 (California) | Primary |
| Provider Name | Lawrence G Lehmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992928733 PECOS PAC ID: 8123198074 Enrollment ID: I20080603000874 |
| Provider Name | Emi Iijima |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154551760 PECOS PAC ID: 1456583152 Enrollment ID: I20140411000690 |
| Provider Name | Melissa Stolsig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881912301 PECOS PAC ID: 1153663026 Enrollment ID: I20190424001012 |
| Provider Name | Eleni Bagourdi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447490958 PECOS PAC ID: 9335297365 Enrollment ID: I20191219002611 |
| Provider Name | Antonia Marie Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255619656 PECOS PAC ID: 3375970403 Enrollment ID: I20200302000170 |
| Provider Name | Kelly Jean Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639472921 PECOS PAC ID: 8729421334 Enrollment ID: I20240212001216 |
| Provider Name | Mike Kemmerer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508051970 PECOS PAC ID: 1850735879 Enrollment ID: I20240219000675 |
| Provider Name | Hilda Carolina Medina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558485706 PECOS PAC ID: 3375987969 Enrollment ID: I20240222002113 |
| Provider Name | Ailsa Monique Long |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447382007 PECOS PAC ID: 4981046513 Enrollment ID: I20240528001571 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |