| Therapeutic Integrative Psychotherapy Clinic, Inc. | |
|
4557 Haskell Ave Unit 301 Encino CA 91436-3152 | |
| (323) 445-8900 | |
| Not Available |
| Full Name | Therapeutic Integrative Psychotherapy Clinic, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4557 Haskell Ave, Encino, California |
| Authorized Official Name and Position | Alan B Goodwin (PRESIDENT) |
| Authorized Official Contact | 3234458900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Integrative Psychotherapy Clinic, Inc. 16055 Ventura Blvd Suite 507 Encino CA 91436-2601 Ph: (323) 445-8900 | Therapeutic Integrative Psychotherapy Clinic, Inc. 4557 Haskell Ave Unit 301 Encino CA 91436-3152 Ph: (323) 445-8900 |
| NPI Number | 1427504281 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Medicare PECOS PAC ID | 2365720976 |
|---|---|
| Medicare Enrollment ID | O20161102002580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427504281 | NPI | - | NPPES |
| 1184002156 | Other | CA | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY19421 (California) | Primary |
| Provider Name | Alan B Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184002156 PECOS PAC ID: 5193012888 Enrollment ID: I20161102002842 |
Karen L . Vause Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16677 Calneva Dr, Encino, CA 91436 Phone: 818-995-0640 Fax: 818-881-7566 | |
Change Within Reach Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17777 Ventura Blvd Ste 105, Encino, CA 91316 Phone: 213-445-2266 Fax: 213-908-1233 | |
Bright Minds Developmental Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17421 Collins St, Encino, CA 91316 Phone: 818-457-1117 | |
Bernard M Kirzner Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6345 Balboa Blvd, Suite 245, Encino, CA 91316 Phone: 818-881-4800 Fax: 818-881-4810 | |
Act Health & Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15760 Ventura Blvd, Suite 920, Encino, CA 91436 Phone: 818-884-8100 Fax: 818-884-7808 | |
Path To Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Lindley Ave, Encino, CA 91316 Phone: 718-938-0949 Fax: 818-960-0038 | |
Eve's Place Of Peace Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 411, Encino, CA 91436 Phone: 818-298-1742 Fax: 818-385-0236 |