| Couch Psychiatry | |
|
9735 Wilshire Blvd Ste 212 Beverly Hills CA 90212-2102 | |
| (702) 280-6805 | |
| Not Available |
| Full Name | Couch Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9735 Wilshire Blvd Ste 212, Beverly Hills, California |
| Authorized Official Name and Position | Joseph Naylor Kenan (OWNER) |
| Authorized Official Contact | 7022806805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Couch Psychiatry 9735 Wilshire Blvd Ste 212 Beverly Hills CA 90212-2102 Ph: (702) 280-6805 | Couch Psychiatry 9735 Wilshire Blvd Ste 212 Beverly Hills CA 90212-2102 Ph: (702) 280-6805 |
| NPI Number | 1376258921 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 8628417565 |
|---|---|
| Medicare Enrollment ID | O20240411003724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376258921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joseph N Kenan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225302755 PECOS PAC ID: 0345499281 Enrollment ID: I20190927000407 |
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