| Psychiatry Treatment Centers | |
|
6464 W Sunset Blvd Ste 740 Los Angeles CA 90028-8009 | |
| (424) 588-5350 | |
| (844) 440-5653 |
| Full Name | Psychiatry Treatment Centers |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6464 W Sunset Blvd Ste 740, Los Angeles, California |
| Authorized Official Name and Position | Keerthan Somanath (CEO) |
| Authorized Official Contact | 5126597831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Treatment Centers 3641 Meadowglen Ct Saint Charles MO 63303-6678 Ph: (424) 588-5350 | Psychiatry Treatment Centers 6464 W Sunset Blvd Ste 740 Los Angeles CA 90028-8009 Ph: (424) 588-5350 |
| NPI Number | 1649998022 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 8022488469 |
|---|---|
| Medicare Enrollment ID | O20221230000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649998022 | NPI | - | NPPES |
| Provider Name | Keerthan Somanath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578941415 PECOS PAC ID: 2365706298 Enrollment ID: I20180501001615 |
| Provider Name | Kywina Marie Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609079839 PECOS PAC ID: 7911388053 Enrollment ID: I20220720001664 |
| Provider Name | Arianne Marie Saden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659094118 PECOS PAC ID: 6002286267 Enrollment ID: I20230104000440 |
| Provider Name | Joss Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013002427 PECOS PAC ID: 0941671622 Enrollment ID: I20230116000856 |
| Provider Name | Diana R Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035477 PECOS PAC ID: 9234501180 Enrollment ID: I20230202002229 |
| Provider Name | Jennie E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851520654 PECOS PAC ID: 0446618656 Enrollment ID: I20230621000699 |
| Provider Name | Deborah Shana Missaghi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982139820 PECOS PAC ID: 1850793191 Enrollment ID: I20240109004819 |
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