| Change Within Reach, Licensed Clinical Social Worker Corporation | |
|
17777 Ventura Blvd Ste 105 Encino CA 91316 | |
| (213) 445-2266 | |
| (213) 908-1233 |
| Full Name | Change Within Reach, Licensed Clinical Social Worker Corporation |
|---|---|
| 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, Licensed Clinical Social Worker Corporation 17777 Ventura Blvd Ste 105 Encino CA 91316-3738 Ph: (213) 445-2266 | Change Within Reach, Licensed Clinical Social Worker Corporation 17777 Ventura Blvd Ste 105 Encino CA 91316 Ph: (213) 445-2266 |
| NPI Number | 1003207002 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 05/23/2018 |
| Medicare PECOS PAC ID | 2062723810 |
|---|---|
| Medicare Enrollment ID | O20150619000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003207002 | NPI | - | NPPES |
| 1285901942 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LCSW28777 (California) | Primary |
| 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 L 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 | Jonathan David Perlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144747122 PECOS PAC ID: 4486913092 Enrollment ID: I20180104001786 |
| 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 | Michelle Renee Kuranishi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437526738 PECOS PAC ID: 1658618665 Enrollment ID: I20190129003816 |
| Provider Name | Deborah Teyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811468820 PECOS PAC ID: 1456693225 Enrollment ID: I20190425002847 |
| Provider Name | Nancy Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053862433 PECOS PAC ID: 8628496262 Enrollment ID: I20200915001336 |
| Provider Name | William C Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649659152 PECOS PAC ID: 6901299684 Enrollment ID: I20220201001182 |
| 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 |
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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 |