| Ucla Neuropsychiatric Behavioral Health | |
|
300 Medical Plaza Los Angeles CA 90095 | |
| (310) 825-9989 | |
| Not Available |
| Full Name | Ucla Neuropsychiatric Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 300 Medical Plaza, Los Angeles, California |
| Authorized Official Name and Position | Michael J Gitlin (PROF OF CLIN PSY CHAIR & DIRECTOR) |
| Authorized Official Contact | 3108259989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Neuropsychiatric Behavioral Health File 2939 Los Angeles CA 90074 Ph: (310) 825-9989 | Ucla Neuropsychiatric Behavioral Health 300 Medical Plaza Los Angeles CA 90095 Ph: (310) 825-9989 |
| NPI Number | 1750368999 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Medicare PECOS PAC ID | 0749180453 |
|---|---|
| Medicare Enrollment ID | O20040109000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750368999 | NPI | - | NPPES |
| GPS000090 | Medicaid | CA | |
| GR0053840 | Medicaid | CA | |
| GSP000650 | Medicaid | CA |
| Provider Name | Perry M Nicassio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215951868 PECOS PAC ID: 3476456559 Enrollment ID: I20040127001228 |
| Provider Name | Susan Y Bookheimer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609807569 PECOS PAC ID: 8921901000 Enrollment ID: I20040127001231 |
| Provider Name | Melita L Daley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982635058 PECOS PAC ID: 0143117564 Enrollment ID: I20040301001249 |
| Provider Name | Benjamin M Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356447460 PECOS PAC ID: 3971584418 Enrollment ID: I20040528001014 |
| Provider Name | Charles Hinkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619900115 PECOS PAC ID: 0941271753 Enrollment ID: I20040804001430 |
| Provider Name | William Jay Resnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134133879 PECOS PAC ID: 8426023151 Enrollment ID: I20040826001463 |
| Provider Name | John O Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831289545 PECOS PAC ID: 2860445335 Enrollment ID: I20050224000248 |
| Provider Name | Marcel O Ponton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861595845 PECOS PAC ID: 8224928221 Enrollment ID: I20051019000596 |
| Provider Name | Jennifer L Pike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790799708 PECOS PAC ID: 0345266110 Enrollment ID: I20051020000713 |
| Provider Name | Emanuel Maidenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154354694 PECOS PAC ID: 2062431836 Enrollment ID: I20051122000444 |
| Provider Name | Linda M Ercoli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821104522 PECOS PAC ID: 4385664523 Enrollment ID: I20051201000969 |
| Provider Name | Martin I Schuster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114973203 PECOS PAC ID: 3678593829 Enrollment ID: I20051201001023 |
| Provider Name | Stephen T Chen |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1114941382 PECOS PAC ID: 7113949587 Enrollment ID: I20051228000733 |
| Provider Name | Tanya Vapnik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083656441 PECOS PAC ID: 1355364779 Enrollment ID: I20060111000476 |
| Provider Name | Aaron Kaufman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1942339395 PECOS PAC ID: 3375557515 Enrollment ID: I20060126000950 |
| Provider Name | Michael Joseph Minzenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235151457 PECOS PAC ID: 1759346547 Enrollment ID: I20060131000313 |
| Provider Name | Karin M Best |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689609901 PECOS PAC ID: 8729094123 Enrollment ID: I20060222000355 |
| Provider Name | David K Wellisch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861404782 PECOS PAC ID: 2668481383 Enrollment ID: I20060407000242 |
| Provider Name | Laurie R Casaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093755449 PECOS PAC ID: 9032121199 Enrollment ID: I20060608000228 |
| Provider Name | Alexander S Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679525992 PECOS PAC ID: 1052324928 Enrollment ID: I20060718000212 |
| Provider Name | Larissa J Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942238282 PECOS PAC ID: 6204849144 Enrollment ID: I20060719000318 |
| Provider Name | David Michael Lechuga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982712386 PECOS PAC ID: 2062412208 Enrollment ID: I20070111000314 |
| Provider Name | Patricia E Lester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760415277 PECOS PAC ID: 3678574936 Enrollment ID: I20070129000844 |
| Provider Name | James Mcgough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962428201 PECOS PAC ID: 2163524976 Enrollment ID: I20070226000497 |
| Provider Name | Tanya Paparella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184678542 PECOS PAC ID: 0042312621 Enrollment ID: I20070228000425 |
| Provider Name | Kenneth B Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720090657 PECOS PAC ID: 3274630975 Enrollment ID: I20070514000574 |
| Provider Name | Elizabeth Bromley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215024492 PECOS PAC ID: 6305943796 Enrollment ID: I20070518000549 |
| Provider Name | David A Merrill |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1902923410 PECOS PAC ID: 4789781006 Enrollment ID: I20070522000314 |
| Provider Name | Thomas B Strouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205854296 PECOS PAC ID: 1153414362 Enrollment ID: I20070904000722 |
| Provider Name | Janine S Shelby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760532782 PECOS PAC ID: 0143318196 Enrollment ID: I20071108000768 |
| Provider Name | Jeremy D Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043499551 PECOS PAC ID: 6901977453 Enrollment ID: I20080611000518 |
| Provider Name | Andrew C Dean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073655064 PECOS PAC ID: 2769553734 Enrollment ID: I20080618000666 |
| Provider Name | Kathleen Tingus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952416190 PECOS PAC ID: 4385702042 Enrollment ID: I20081023000786 |
| Provider Name | Bonnie T Zima |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548291297 PECOS PAC ID: 0042372500 Enrollment ID: I20081218000111 |
| Provider Name | Susan W Jurkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811920325 PECOS PAC ID: 5496817462 Enrollment ID: I20081229000602 |
| Provider Name | Catherine E Mogil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093839367 PECOS PAC ID: 0042376808 Enrollment ID: I20090303000035 |
| Provider Name | Marla H. Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740205061 PECOS PAC ID: 9638236003 Enrollment ID: I20090330000558 |
| Provider Name | Marcy F Borlik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467667824 PECOS PAC ID: 6709937790 Enrollment ID: I20090702000538 |
| Provider Name | Pauline Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457550246 PECOS PAC ID: 4385781913 Enrollment ID: I20091029000767 |
| Provider Name | Michael Gitlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821018086 PECOS PAC ID: 4385736651 Enrollment ID: I20091214000492 |
| Provider Name | Michael Irwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134220718 PECOS PAC ID: 9931241049 Enrollment ID: I20100127000398 |
| Provider Name | Ellen D Thrasher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821251554 PECOS PAC ID: 2163564147 Enrollment ID: I20100129000139 |
| Provider Name | David Krantz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376569152 PECOS PAC ID: 5496897480 Enrollment ID: I20100129000181 |
| Provider Name | David J Miklowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588805998 PECOS PAC ID: 2264400654 Enrollment ID: I20100203000271 |
| Provider Name | Patricia D Walshaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235361528 PECOS PAC ID: 9830231943 Enrollment ID: I20100204000227 |
| Provider Name | Robert Bilder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194750422 PECOS PAC ID: 4486799384 Enrollment ID: I20100303000543 |
| Provider Name | Alexander Bystritsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053428011 PECOS PAC ID: 0446395362 Enrollment ID: I20100303000751 |
| Provider Name | Timothy W Fong |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1538185533 PECOS PAC ID: 4688709900 Enrollment ID: I20100311000881 |
| Provider Name | Bruce L Kagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336173921 PECOS PAC ID: 8224165444 Enrollment ID: I20100420000798 |
| Provider Name | Michael John Enenbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477583953 PECOS PAC ID: 3173594330 Enrollment ID: I20100506000803 |
| Provider Name | Xavier E Cagigas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992952816 PECOS PAC ID: 1456482454 Enrollment ID: I20100707000487 |
| Provider Name | Karen Miotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023041597 PECOS PAC ID: 6800929431 Enrollment ID: I20100803001371 |
| Provider Name | Gennady Musher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730210352 PECOS PAC ID: 0840323390 Enrollment ID: I20100804000306 |
| Provider Name | Lara A Ray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497072888 PECOS PAC ID: 1658404959 Enrollment ID: I20100807000045 |
| Provider Name | Josephine K Mcnary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902060072 PECOS PAC ID: 9638203755 Enrollment ID: I20100811000638 |
| Provider Name | Andrew F Leuchter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518998558 PECOS PAC ID: 0941334692 Enrollment ID: I20100817000322 |
| Provider Name | Stephen Marder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063437762 PECOS PAC ID: 4183758816 Enrollment ID: I20100817001401 |
| Provider Name | Erika Nurmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558537357 PECOS PAC ID: 9234255092 Enrollment ID: I20100929000852 |
| Provider Name | Helen Lavretsky |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1881627404 PECOS PAC ID: 8820164916 Enrollment ID: I20101013001242 |
| Provider Name | Pei-huey Nie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235317256 PECOS PAC ID: 5890980742 Enrollment ID: I20101117000738 |
| Provider Name | Erik S Paschall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265621791 PECOS PAC ID: 9739375726 Enrollment ID: I20101202000818 |
| Provider Name | Margaret Lois Stuber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356458046 PECOS PAC ID: 5799964169 Enrollment ID: I20110201000532 |
| Provider Name | Veronica R Barenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114958154 PECOS PAC ID: 2769667146 Enrollment ID: I20110428000559 |
| Provider Name | Benjamin Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477783231 PECOS PAC ID: 0143406660 Enrollment ID: I20110518000489 |
| Provider Name | Timothy M Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417101965 PECOS PAC ID: 7911183199 Enrollment ID: I20110524000555 |
| Provider Name | Edward L Spencer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205075223 PECOS PAC ID: 8820276413 Enrollment ID: I20110630000219 |
| Provider Name | Erick H Cheung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649424524 PECOS PAC ID: 7618145632 Enrollment ID: I20110719000270 |
| Provider Name | Soo Yeon Kelly Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508038415 PECOS PAC ID: 4587832019 Enrollment ID: I20110727000429 |
| Provider Name | Adam Joseph Burdick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619122025 PECOS PAC ID: 3375712680 Enrollment ID: I20110802000771 |
| Provider Name | Robert L Suddath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922116656 PECOS PAC ID: 2163691627 Enrollment ID: I20110818000134 |
| Provider Name | Joan Margaret Striebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831326958 PECOS PAC ID: 7618149451 Enrollment ID: I20111020000355 |
| Provider Name | Christina M Hui |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1891992319 PECOS PAC ID: 6002089588 Enrollment ID: I20111027000821 |
| Provider Name | Katrina Debonis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306053780 PECOS PAC ID: 5991965865 Enrollment ID: I20120330000071 |
| Provider Name | Jo A Sornborger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194033563 PECOS PAC ID: 0547420226 Enrollment ID: I20120404000905 |
| Provider Name | Mary O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245265792 PECOS PAC ID: 0244491462 Enrollment ID: I20120416000623 |
| Provider Name | Joshua Hyong-jin Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003043969 PECOS PAC ID: 7214199934 Enrollment ID: I20120425000644 |
| Provider Name | Shirley M Kahenzadeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386843035 PECOS PAC ID: 1153587811 Enrollment ID: I20120724000736 |
| Provider Name | April D Thames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891989612 PECOS PAC ID: 6901053487 Enrollment ID: I20120906000452 |
| Provider Name | Sarah N Mourra |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1487815882 PECOS PAC ID: 8426200205 Enrollment ID: I20121129000441 |
| Provider Name | Jennifer Kruse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114154861 PECOS PAC ID: 5294973475 Enrollment ID: I20130529000716 |
| Provider Name | Gregory L Marusak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205851532 PECOS PAC ID: 2961640925 Enrollment ID: I20130603000434 |
| Provider Name | Charles H Mcdaniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780698969 PECOS PAC ID: 7214175991 Enrollment ID: I20130608000108 |
| Provider Name | Mirianna C Manuitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639245194 PECOS PAC ID: 7012156086 Enrollment ID: I20130624000346 |
| Provider Name | Judith E Leone-friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316384951 PECOS PAC ID: 4688815335 Enrollment ID: I20130723000918 |
| Provider Name | Oren R Boxer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508176256 PECOS PAC ID: 2668615030 Enrollment ID: I20130904000378 |
| Provider Name | Dustin Z Deyoung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346403953 PECOS PAC ID: 4183858525 Enrollment ID: I20131017001832 |
| Provider Name | Michael Boucher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053638932 PECOS PAC ID: 7911134796 Enrollment ID: I20131227000221 |
| Provider Name | Robert J Tomaszewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407951965 PECOS PAC ID: 8224176359 Enrollment ID: I20140130001393 |
| Provider Name | Natalia Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225396153 PECOS PAC ID: 8820228646 Enrollment ID: I20140224000023 |
| Provider Name | Talin Babikian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023307089 PECOS PAC ID: 5092945659 Enrollment ID: I20140226001324 |
| Provider Name | Julian A Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952324022 PECOS PAC ID: 1254372972 Enrollment ID: I20140325002089 |
| Provider Name | Ariel Seroussi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801163530 PECOS PAC ID: 5092938910 Enrollment ID: I20140522000758 |
| Provider Name | Walter Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124261813 PECOS PAC ID: 2163647173 Enrollment ID: I20140708001126 |
| Provider Name | Desarae Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952427460 PECOS PAC ID: 5799901344 Enrollment ID: I20140717001146 |
| Provider Name | Misty Charissa Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013274380 PECOS PAC ID: 8325267727 Enrollment ID: I20140917001868 |
| Provider Name | Nathaniel D Ginder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326314766 PECOS PAC ID: 7618197757 Enrollment ID: I20141013001233 |
| Provider Name | Alaina V Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962768200 PECOS PAC ID: 7517188063 Enrollment ID: I20141025000063 |
| Provider Name | Stella Chow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093846750 PECOS PAC ID: 0840512802 Enrollment ID: I20141202000002 |
| Provider Name | Brenda A Bursch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558396663 PECOS PAC ID: 6507180692 Enrollment ID: I20150120002178 |
| Provider Name | Jason Jalil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023372547 PECOS PAC ID: 1052635075 Enrollment ID: I20150122002210 |
| Provider Name | Nataly Seka Petrovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205124781 PECOS PAC ID: 2062738859 Enrollment ID: I20150314000041 |
| Provider Name | Hypatia Ostojic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093055154 PECOS PAC ID: 5193044600 Enrollment ID: I20150505002298 |
| Provider Name | Ashley O Coats |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154649895 PECOS PAC ID: 0143541425 Enrollment ID: I20150611002769 |
| Provider Name | Mi N Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013140268 PECOS PAC ID: 3870814163 Enrollment ID: I20150611003195 |
| Provider Name | Elena Hunanyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508138405 PECOS PAC ID: 3870804792 Enrollment ID: I20150618002679 |
| Provider Name | Diomaris Safi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790063410 PECOS PAC ID: 6002129434 Enrollment ID: I20150714002684 |
| Provider Name | Nicholas S Thaler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912386400 PECOS PAC ID: 6002120656 Enrollment ID: I20150728003079 |
| Provider Name | Rujuta Bhatt Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396061461 PECOS PAC ID: 4981911849 Enrollment ID: I20150910000785 |
| Provider Name | Jena Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972850873 PECOS PAC ID: 7517262637 Enrollment ID: I20160226000534 |
| Provider Name | Anise Zamora Noggle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912326943 PECOS PAC ID: 0042509036 Enrollment ID: I20160513001822 |
| Provider Name | Paola A Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326493842 PECOS PAC ID: 3072803451 Enrollment ID: I20160526002288 |
| Provider Name | Heleya Rad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629395546 PECOS PAC ID: 0446540108 Enrollment ID: I20160608001425 |
| Provider Name | Reza Tadayon Nejad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326329012 PECOS PAC ID: 6800010992 Enrollment ID: I20160630002254 |
| Provider Name | Sibylle Delaloye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992061717 PECOS PAC ID: 3476846460 Enrollment ID: I20160728001404 |
| Provider Name | Scott A Wilke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114283819 PECOS PAC ID: 2860789955 Enrollment ID: I20160916000936 |
| Provider Name | Brandon S Ito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457644346 PECOS PAC ID: 6709196686 Enrollment ID: I20160921001749 |
| Provider Name | Kathleen Van Dyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518413491 PECOS PAC ID: 7517254725 Enrollment ID: I20160930001559 |
| Provider Name | Erica Lubliner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720495997 PECOS PAC ID: 9739476946 Enrollment ID: I20160930001766 |
| Provider Name | Anna Hinohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407194087 PECOS PAC ID: 0143517607 Enrollment ID: I20161020001870 |
| Provider Name | Behnaz Jalali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619075231 PECOS PAC ID: 6305124785 Enrollment ID: I20161107000899 |
| Provider Name | Michael F Zito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215355433 PECOS PAC ID: 6507145323 Enrollment ID: I20161118002078 |
| Provider Name | Joshua Christopher Tompkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649513409 PECOS PAC ID: 8820367766 Enrollment ID: I20170707002319 |
| Provider Name | Lucy Thi My Vo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831446053 PECOS PAC ID: 5890051635 Enrollment ID: I20171109003035 |
| Provider Name | Paul N Hovanesian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215297031 PECOS PAC ID: 9638437544 Enrollment ID: I20171226001846 |
| Provider Name | Naser Ahmadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497019806 PECOS PAC ID: 7214176114 Enrollment ID: I20171229002414 |
| Provider Name | Katherine M Unverferth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164817789 PECOS PAC ID: 2567721723 Enrollment ID: I20180115001011 |
| Provider Name | Aleksandra O. Kalinich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871798280 PECOS PAC ID: 4385903368 Enrollment ID: I20180119001649 |
| Provider Name | Rachel Caryn Edelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497203103 PECOS PAC ID: 2365701356 Enrollment ID: I20180119002406 |
| Provider Name | Linnea M Esselstrom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295190361 PECOS PAC ID: 2264792233 Enrollment ID: I20180213000291 |
| Provider Name | Daniel Erik Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609188671 PECOS PAC ID: 5991066979 Enrollment ID: I20180308001334 |
| Provider Name | Michael Treanor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689172173 PECOS PAC ID: 9638431208 Enrollment ID: I20180319001365 |
| Provider Name | David E. Kronemyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285094508 PECOS PAC ID: 8527320514 Enrollment ID: I20180403002267 |
| Provider Name | Keerthan Somanath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578941415 PECOS PAC ID: 2365706298 Enrollment ID: I20180501001615 |
| Provider Name | Jonathan Pascal Heldt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982022521 PECOS PAC ID: 1153685342 Enrollment ID: I20180516002276 |
| Provider Name | Shannon Marie Bates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073000279 PECOS PAC ID: 0547525479 Enrollment ID: I20180524002071 |
| Provider Name | Hamid Reza Naficy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528367745 PECOS PAC ID: 6709176233 Enrollment ID: I20180618001671 |
| Provider Name | Margaret Gail Distler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265859250 PECOS PAC ID: 5991053530 Enrollment ID: I20180730002753 |
| Provider Name | Artha Je Gillis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013237064 PECOS PAC ID: 7113275157 Enrollment ID: I20180807002780 |
| Provider Name | Alex Kelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518416312 PECOS PAC ID: 0547518565 Enrollment ID: I20180808002023 |
| Provider Name | Diane P Oran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326171638 PECOS PAC ID: 3072546829 Enrollment ID: I20181005001795 |
| Provider Name | Aryeh L Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922499128 PECOS PAC ID: 7012261779 Enrollment ID: I20181115000915 |
| Provider Name | Sabrina Helen Reed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841687316 PECOS PAC ID: 0749584811 Enrollment ID: I20181227002421 |
| Provider Name | Debbie Gisela Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902924111 PECOS PAC ID: 8820330962 Enrollment ID: I20190422000774 |
| Provider Name | Maura N Mitrushina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891993861 PECOS PAC ID: 4789927120 Enrollment ID: I20190528001611 |
| Provider Name | William Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801199856 PECOS PAC ID: 3476886607 Enrollment ID: I20190603002886 |
| Provider Name | John Hung Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881088433 PECOS PAC ID: 1153677224 Enrollment ID: I20190820002954 |
| Provider Name | Natacha Donoghue Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922533314 PECOS PAC ID: 2365770641 Enrollment ID: I20190823002622 |
| Provider Name | Mona Mojtahedzadeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730592346 PECOS PAC ID: 9537415393 Enrollment ID: I20190913002984 |
| Provider Name | Dewan-syed Adnan Majid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912391483 PECOS PAC ID: 9830459536 Enrollment ID: I20190919002827 |
| Provider Name | Sarah Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164781241 PECOS PAC ID: 8820369341 Enrollment ID: I20191024003329 |
| Provider Name | Elizabeth W Ollen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508346883 PECOS PAC ID: 4486986775 Enrollment ID: I20191106002352 |
| Provider Name | Jobert B Poblete |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063944759 PECOS PAC ID: 4880925288 Enrollment ID: I20191121001917 |
| Provider Name | Margaret Annarose Shean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205085354 PECOS PAC ID: 9234562695 Enrollment ID: I20191126000940 |
| Provider Name | Catherine Eileen Lord |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942589049 PECOS PAC ID: 2668808445 Enrollment ID: I20200214002081 |
| Provider Name | Michael Wetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700929791 PECOS PAC ID: 7012105976 Enrollment ID: I20200218001504 |
| Provider Name | Oluwafikunmi Moyo Sobowale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235516626 PECOS PAC ID: 8527370774 Enrollment ID: I20200305000921 |
| Provider Name | Gil D Hoftman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760877237 PECOS PAC ID: 4082944467 Enrollment ID: I20200415000562 |
| Provider Name | Hanadi Ajam Oughli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598149536 PECOS PAC ID: 8022322833 Enrollment ID: I20200625000994 |
| Provider Name | Sara Assar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871928689 PECOS PAC ID: 2264857523 Enrollment ID: I20200803002663 |
| Provider Name | Lucia Cavanagh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114544293 PECOS PAC ID: 9931524881 Enrollment ID: I20200810000765 |
| Provider Name | Jooyeon Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750765830 PECOS PAC ID: 5092047423 Enrollment ID: I20201014000875 |
| Provider Name | Vindia G Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356875496 PECOS PAC ID: 2961813613 Enrollment ID: I20201201002196 |
| Provider Name | Erika Hsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390810 PECOS PAC ID: 6406287226 Enrollment ID: I20210208002093 |
| Provider Name | Kim-ha N Lorine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144523820 PECOS PAC ID: 8527467141 Enrollment ID: I20210601001379 |
| Provider Name | Angela B Coulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487940862 PECOS PAC ID: 6608275011 Enrollment ID: I20210603003329 |
| Provider Name | Gregory Jamal Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932594959 PECOS PAC ID: 0345543252 Enrollment ID: I20210708001121 |
| Provider Name | John Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821441551 PECOS PAC ID: 5698012615 Enrollment ID: I20210730000461 |
| Provider Name | Ariel Danica Bahner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245745512 PECOS PAC ID: 4284031345 Enrollment ID: I20210916002268 |
| Provider Name | Jocelyn Ivette Meza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518539394 PECOS PAC ID: 0446658215 Enrollment ID: I20211007003575 |
| Provider Name | Jasper Estabillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366943060 PECOS PAC ID: 1658779335 Enrollment ID: I20211011001259 |
| Provider Name | Laura L Adery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568082113 PECOS PAC ID: 4486042496 Enrollment ID: I20211025001613 |
| Provider Name | Joshua Seth Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063179422 PECOS PAC ID: 9931599792 Enrollment ID: I20211209001597 |
| Provider Name | Erika Pigg-noriega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407026768 PECOS PAC ID: 2062806813 Enrollment ID: I20220222001009 |
| Provider Name | Ruth Vergara-callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306247994 PECOS PAC ID: 2567856149 Enrollment ID: I20220224001166 |
| Provider Name | Sara Melissa Mccracken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598946998 PECOS PAC ID: 7315333796 Enrollment ID: I20220412001271 |
| Provider Name | Adesewa Eseosa Adelekun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780189464 PECOS PAC ID: 6709207103 Enrollment ID: I20220509001089 |
| Provider Name | Brittany Irshay Booth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740784669 PECOS PAC ID: 8729418082 Enrollment ID: I20220509001728 |
| Provider Name | Nicole M Hisaka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356716039 PECOS PAC ID: 5991182842 Enrollment ID: I20220513001491 |
| Provider Name | Aaron Russell Slan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154827251 PECOS PAC ID: 6709124027 Enrollment ID: I20220531001315 |
| Provider Name | Brooke Lillian Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477926749 PECOS PAC ID: 5496133985 Enrollment ID: I20220613001984 |
| Provider Name | Jean Lorraine Wang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437382009 PECOS PAC ID: 5092194308 Enrollment ID: I20220616001451 |
| Provider Name | Hewa Artin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487151973 PECOS PAC ID: 4082094883 Enrollment ID: I20220711003471 |
| Provider Name | Gabriela Alyce Alejos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518505759 PECOS PAC ID: 6608257068 Enrollment ID: I20220715001210 |
| Provider Name | Denise Gwen Feil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265484943 PECOS PAC ID: 7810378080 Enrollment ID: I20220719002275 |
| Provider Name | Collin Mathew Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134680010 PECOS PAC ID: 1759780042 Enrollment ID: I20220726002334 |
| Provider Name | Naomi Bernedette Markowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619601531 PECOS PAC ID: 3072996719 Enrollment ID: I20220813000331 |
| Provider Name | Ralph J Koek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356428924 PECOS PAC ID: 7810370392 Enrollment ID: I20220816001931 |
| Provider Name | Agustina Bertone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932767035 PECOS PAC ID: 4880077361 Enrollment ID: I20220816002091 |
| Provider Name | Charles T Mctavish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598290033 PECOS PAC ID: 0648516401 Enrollment ID: I20220817000137 |
| Provider Name | Manal Farrukh Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740736610 PECOS PAC ID: 4587088950 Enrollment ID: I20220906003228 |
| Provider Name | Megan Christina Ichinose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629529466 PECOS PAC ID: 9638554470 Enrollment ID: I20220915001300 |
| Provider Name | Galen Daley Blake Mcneil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033629217 PECOS PAC ID: 3274909171 Enrollment ID: I20221018001731 |
| Provider Name | Juliet Beni Edgcomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396107017 PECOS PAC ID: 7810249141 Enrollment ID: I20221214000147 |
| Provider Name | Courtney Kwan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871260968 PECOS PAC ID: 5597134510 Enrollment ID: I20221214002700 |
| Provider Name | Reina Suzanne Factor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679282438 PECOS PAC ID: 2163893983 Enrollment ID: I20230113001182 |
| Provider Name | Christine T Moody |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306394093 PECOS PAC ID: 2163894957 Enrollment ID: I20230203000698 |
| Provider Name | Emnet Zelalem Gammada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245940139 PECOS PAC ID: 1850763640 Enrollment ID: I20230203000851 |
| Provider Name | Debbie Cervantes Garay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902262512 PECOS PAC ID: 0749655975 Enrollment ID: I20230331000711 |
| Provider Name | Melissa Bolivar Escobar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982154118 PECOS PAC ID: 7315302593 Enrollment ID: I20230421000831 |
| Provider Name | Krista Basile Tabuenca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255813762 PECOS PAC ID: 8224494422 Enrollment ID: I20230512002275 |
| Provider Name | Evan Hy Einstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588161137 PECOS PAC ID: 6901158187 Enrollment ID: I20230530000811 |
| Provider Name | Mercy Huang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972971349 PECOS PAC ID: 1254798598 Enrollment ID: I20230601001703 |
| Provider Name | Bryson Chandler Lochte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801458500 PECOS PAC ID: 8123427259 Enrollment ID: I20230609000989 |
| Provider Name | Jenny Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689178568 PECOS PAC ID: 2365707007 Enrollment ID: I20230609002742 |
| Provider Name | Sarah Lee Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336609627 PECOS PAC ID: 7113384835 Enrollment ID: I20230612000173 |
| Provider Name | Harel Papikian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194898999 PECOS PAC ID: 5698133007 Enrollment ID: I20230616001147 |
| Provider Name | Sarah Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811512981 PECOS PAC ID: 2365800695 Enrollment ID: I20230620000797 |
| Provider Name | Kelsey Marie Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497242515 PECOS PAC ID: 5294074977 Enrollment ID: I20230622000297 |
| Provider Name | Trung Tan Duong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649833815 PECOS PAC ID: 5597092932 Enrollment ID: I20230623000908 |
| Provider Name | John Marshall Horton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538663513 PECOS PAC ID: 2860815164 Enrollment ID: I20230807003038 |
| Provider Name | Lucy Wall |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1386171080 PECOS PAC ID: 6002278918 Enrollment ID: I20230809001963 |
| Provider Name | Sydnee Hawthorne Swain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609210806 PECOS PAC ID: 4789047788 Enrollment ID: I20230823003616 |
| Provider Name | Shauna Leslie Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902005929 PECOS PAC ID: 0648634782 Enrollment ID: I20230907004623 |
| Provider Name | Bo Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700374626 PECOS PAC ID: 1052669744 Enrollment ID: I20230920001316 |
| Provider Name | Kara Simone Bagot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316261266 PECOS PAC ID: 7315179884 Enrollment ID: I20230921003662 |
| Provider Name | Anya K Bershad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265993059 PECOS PAC ID: 4385052398 Enrollment ID: I20230925001762 |
| Provider Name | Lucy Wall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386171080 PECOS PAC ID: 6002278918 Enrollment ID: I20231016000077 |
| Provider Name | Louise Dixon De Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164941910 PECOS PAC ID: 2062877038 Enrollment ID: I20231030002306 |
| Provider Name | Kelly Durbin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770266298 PECOS PAC ID: 6709232358 Enrollment ID: I20231102001209 |
| Provider Name | Sierra Evelyn Kuzava |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447877253 PECOS PAC ID: 2466804547 Enrollment ID: I20240115001569 |
| Provider Name | Sharon Bina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083731509 PECOS PAC ID: 1254784531 Enrollment ID: I20240202001889 |
| Provider Name | Thomas V Babayan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114109030 PECOS PAC ID: 6709229081 Enrollment ID: I20240205000982 |
| Provider Name | Anthony J Chambers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922256569 PECOS PAC ID: 6709248487 Enrollment ID: I20240205004107 |
| Provider Name | Dominique A Gillis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386822377 PECOS PAC ID: 2769825645 Enrollment ID: I20240207003206 |
| Provider Name | Joseph Ventura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124590484 PECOS PAC ID: 1254774037 Enrollment ID: I20240208002277 |
| Provider Name | Kathryn Elizabeth Mann |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336485788 PECOS PAC ID: 0648613471 Enrollment ID: I20240208003790 |
| Provider Name | Jennifer Ashley Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245514934 PECOS PAC ID: 7113360751 Enrollment ID: I20240209003569 |
| Provider Name | Elina Veytsman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487329876 PECOS PAC ID: 0244674406 Enrollment ID: I20240215004229 |
| Provider Name | Katrina Rochel Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144697988 PECOS PAC ID: 4486098274 Enrollment ID: I20240220003698 |
| Provider Name | Jennifer N. Cowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679334262 PECOS PAC ID: 8022453687 Enrollment ID: I20240305002659 |
| Provider Name | Dina V Aladort |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801178132 PECOS PAC ID: 4183061716 Enrollment ID: I20240319001699 |
| Provider Name | Iesha Rose Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417417296 PECOS PAC ID: 6103263579 Enrollment ID: I20240320003482 |
| Provider Name | Rebecca Rose Kammes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275105413 PECOS PAC ID: 0345688966 Enrollment ID: I20240402002218 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |