| Elysian Psychological Services | |
|
3477 Wrightwood Dr Studio City CA 91604-3942 | |
| (213) 595-3450 | |
| Not Available |
| Full Name | Elysian Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 3477 Wrightwood Dr, Studio City, California |
| Authorized Official Name and Position | Olga Skarlato (CEO) |
| Authorized Official Contact | 2135953450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysian Psychological Services 1211 Sunset Plaza Dr Apt 213 West Hollywood CA 90069-1249 Ph: (213) 595-3450 | Elysian Psychological Services 3477 Wrightwood Dr Studio City CA 91604-3942 Ph: (213) 595-3450 |
| NPI Number | 1952023103 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 0244608073 |
|---|---|
| Medicare Enrollment ID | O20221128002748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952023103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Olga Skarlato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013159516 PECOS PAC ID: 6608244439 Enrollment ID: I20221128002779 |
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