| The Ed Asner Family Center | |
|
16340 Roscoe Blvd Ste 101 Van Nuys CA 91406-1217 | |
| (818) 855-2199 | |
| Not Available |
| Full Name | The Ed Asner Family Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16340 Roscoe Blvd Ste 101, Van Nuys, California |
| Authorized Official Name and Position | Chrisa Sadd (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 8188552199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ed Asner Family Center 12400 Ventura Blvd # 371 Studio City CA 91604-2406 Ph: () - | The Ed Asner Family Center 16340 Roscoe Blvd Ste 101 Van Nuys CA 91406-1217 Ph: (818) 855-2199 |
| NPI Number | 1104315621 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 5092155796 |
|---|---|
| Medicare Enrollment ID | O20240429001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104315621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Desiree Ginette Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841202066 PECOS PAC ID: 1658721709 Enrollment ID: I20240102001693 |
| Provider Name | Chrisa Lynn Sadd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184937807 PECOS PAC ID: 5991145690 Enrollment ID: I20240430003478 |
| Provider Name | Kelley Michelle Tapia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477790731 PECOS PAC ID: 6305286949 Enrollment ID: I20240430003564 |
| Provider Name | Katayoun Khorramian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538741855 PECOS PAC ID: 7012357650 Enrollment ID: I20240430003618 |
Balboa Student And Family Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6655 Balboa Blvd, Van Nuys, CA 91406 Phone: 818-758-2300 Fax: 818-996-9850 | |
Magnolia Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5656 Cantaloupe Ave, Van Nuys, CA 91401 Phone: 818-489-0846 | |
Sfvcmh/victory Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6501 Van Nuys Blvd, Van Nuys, CA 91401 Phone: 818-989-7475 Fax: 818-781-3822 | |
Sfvcmhcwraparound Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14545 Sherman Cir, Van Nuys, CA 91405 Phone: 818-901-4830 Fax: 818-785-3446 | |
Pacific Asian Counseling Services - Sfv Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6931 Van Nuys Blvd Ste 200, Van Nuys, CA 91405 Phone: 818-989-9214 Fax: 818-989-9217 | |
Behavior Motivation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7602 N Patriot Way, Van Nuys, CA 91405 Phone: 818-987-1808 | |
Substance Abuse Specialist Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14515 Hamlin St, Van Nuys, CA 91411 Phone: 323-387-2405 Fax: 323-727-0284 |