| Change Within Reach Inc | |
|
17777 Ventura Blvd Ste 105 Encino CA 91316 | |
| (213) 445-2266 | |
| (213) 908-1233 |
| Full Name | Change Within Reach Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17777 Ventura Blvd Ste 105, Encino, California |
| Authorized Official Name and Position | Anna Gershelis (PRESIDENT) |
| Authorized Official Contact | 2134452266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Within Reach Inc 17777 Ventura Blvd Ste 105 Encino CA 91316-3738 Ph: (213) 445-2266 | Change Within Reach Inc 17777 Ventura Blvd Ste 105 Encino CA 91316 Ph: (213) 445-2266 |
| NPI Number | 1003207002 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 2062723810 |
|---|---|
| Medicare Enrollment ID | O20150619000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003207002 | NPI | - | NPPES |
| 1285901942 | Medicaid | CA |
| Provider Name | Sarah A Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083927651 PECOS PAC ID: 3375707235 Enrollment ID: I20120606000272 |
| Provider Name | Kim Boykin-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689987281 PECOS PAC ID: 8729226006 Enrollment ID: I20130528000266 |
| Provider Name | Anna Gershelis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285901942 PECOS PAC ID: 5092624130 Enrollment ID: I20140313000489 |
| Provider Name | Irene S Fruchtbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386081743 PECOS PAC ID: 7911226808 Enrollment ID: I20150427001276 |
| Provider Name | Lori Menendyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619304367 PECOS PAC ID: 8820308802 Enrollment ID: I20151103001549 |
| Provider Name | Cynthia Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508014143 PECOS PAC ID: 7315241874 Enrollment ID: I20160204000444 |
| Provider Name | Shully Salman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558695049 PECOS PAC ID: 6406162650 Enrollment ID: I20160321001264 |
| Provider Name | Mary Eileen Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518050855 PECOS PAC ID: 4082912431 Enrollment ID: I20160418002340 |
| Provider Name | Jacqueline Nicole Parodi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508982901 PECOS PAC ID: 0941591754 Enrollment ID: I20160627001245 |
| Provider Name | William W Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275650095 PECOS PAC ID: 2860776655 Enrollment ID: I20170222001497 |
| Provider Name | Timothy Paul Encinas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982953303 PECOS PAC ID: 2860769767 Enrollment ID: I20170525000019 |
| Provider Name | Jennifer A Frank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164776019 PECOS PAC ID: 5890049761 Enrollment ID: I20181112001720 |
| Provider Name | Darya Potyagova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770052698 PECOS PAC ID: 1658618186 Enrollment ID: I20190122003351 |
| Provider Name | Deborah Teyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811468820 PECOS PAC ID: 1456693225 Enrollment ID: I20190425002847 |
| Provider Name | Debbie Grace Lugtu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396333266 PECOS PAC ID: 5294171807 Enrollment ID: I20240306000526 |
| Provider Name | Eva Eduarte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033759329 PECOS PAC ID: 3375989932 Enrollment ID: I20240306002090 |
| Provider Name | Jennifer R.i. Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487935490 PECOS PAC ID: 0345688826 Enrollment ID: I20240403000459 |
| Provider Name | Christina Marie Ambriz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891169579 PECOS PAC ID: 6800330671 Enrollment ID: I20240703002443 |
| Provider Name | Miesha Quinones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245574904 PECOS PAC ID: 9133663768 Enrollment ID: I20240706000445 |
| Provider Name | Michael Doyle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295489086 PECOS PAC ID: 4789122151 Enrollment ID: I20240815004389 |
| Provider Name | Sharareh - Ghedari |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487787784 PECOS PAC ID: 1557800430 Enrollment ID: I20240822003623 |
| Provider Name | Theresa A Pasqualino |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144745134 PECOS PAC ID: 0244761880 Enrollment ID: I20241007001498 |
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