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11835 W Olympic Blvd Ste 815e Los Angeles CA 90064-5056 | |
| (323) 332-9905 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11835 W Olympic Blvd Ste 815e, Los Angeles, California |
| Authorized Official Name and Position | Sandra Kushnir (CEO) |
| Authorized Official Contact | 3104287240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11640 Gorham Ave Apt 4 Los Angeles CA 90049-4727 Ph: (310) 428-7240 | 11835 W Olympic Blvd Ste 815e Los Angeles CA 90064-5056 Ph: (323) 332-9905 |
| NPI Number | 1396202206 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 6305284803 |
|---|---|
| Medicare Enrollment ID | O20240403001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396202206 | NPI | - | NPPES |
| 1780065045 | Other | CA | NPI 1 |
| Provider Name | Craig A Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396760138 PECOS PAC ID: 2860496809 Enrollment ID: I20100222000557 |
| Provider Name | Karley M Strouss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376897686 PECOS PAC ID: 6901185271 Enrollment ID: I20161110000352 |
| Provider Name | Shoshana Askren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386021244 PECOS PAC ID: 6901172741 Enrollment ID: I20171024001580 |
| Provider Name | Edward Aldaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639611627 PECOS PAC ID: 3971998196 Enrollment ID: I20220324001209 |
| Provider Name | Andrietta Wright Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20230314001816 |
| Provider Name | Camilla Alexandra Lettini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922509082 PECOS PAC ID: 1759727670 Enrollment ID: I20240313002362 |
| Provider Name | Jessica Amber Dirks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245790120 PECOS PAC ID: 9436597515 Enrollment ID: I20240409002345 |
| Provider Name | Nicholas Robert Koontz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821301292 PECOS PAC ID: 9335587286 Enrollment ID: I20240410003922 |
| Provider Name | Rebecca Ann Byler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265921118 PECOS PAC ID: 0244671808 Enrollment ID: I20240514000982 |
| Provider Name | Nadia Brewart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154731289 PECOS PAC ID: 5698117745 Enrollment ID: I20240521003901 |
| Provider Name | Rosario Tabares |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073167458 PECOS PAC ID: 9436691771 Enrollment ID: I20240603000982 |
| Provider Name | Raymond Rabbani |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033780499 PECOS PAC ID: 9537601802 Enrollment ID: I20240603002519 |
| Provider Name | Keith Parker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417078072 PECOS PAC ID: 7012459217 Enrollment ID: I20240604001024 |
| Provider Name | Lisa Palley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174120166 PECOS PAC ID: 9133661747 Enrollment ID: I20240611002962 |
| Provider Name | Natalie Claxton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215673884 PECOS PAC ID: 5799227195 Enrollment ID: I20240612002530 |
| Provider Name | Alexa Pirouti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518620137 PECOS PAC ID: 9436691847 Enrollment ID: I20240612002807 |
| Provider Name | Amy Giselle Ceballos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669099479 PECOS PAC ID: 2961945241 Enrollment ID: I20240614000868 |
| Provider Name | Keeley Dunn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295394591 PECOS PAC ID: 1850835257 Enrollment ID: I20240626003009 |
| Provider Name | Kimberly Zaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073026878 PECOS PAC ID: 0840735478 Enrollment ID: I20240708003360 |
| Provider Name | Miriam Lucero Gomez Tello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609541929 PECOS PAC ID: 5991240152 Enrollment ID: I20240711002356 |
| Provider Name | Summyr Nickole Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194154146 PECOS PAC ID: 1254877939 Enrollment ID: I20240718003209 |
| Provider Name | Alanna Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124565197 PECOS PAC ID: 0749728582 Enrollment ID: I20240812003305 |
| Provider Name | Katie Marie Swanson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265166201 PECOS PAC ID: 9234677394 Enrollment ID: I20240820003372 |
| Provider Name | Julia Clare Beecher-flad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215375712 PECOS PAC ID: 8022557966 Enrollment ID: I20240823001029 |
| Provider Name | Stephanie Chassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508227489 PECOS PAC ID: 1759820517 Enrollment ID: I20240826001718 |
| Provider Name | Ashley Ramos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750029617 PECOS PAC ID: 0749729424 Enrollment ID: I20240826002979 |
| Provider Name | Gary Trent Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578688370 PECOS PAC ID: 0840739538 Enrollment ID: I20240826003509 |
| Provider Name | Christina Kathleen Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184102014 PECOS PAC ID: 5294274759 Enrollment ID: I20240828001940 |
| Provider Name | Kelly Dianne Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548524317 PECOS PAC ID: 6002355526 Enrollment ID: I20240828004158 |
| Provider Name | Matthew Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194261495 PECOS PAC ID: 3971043530 Enrollment ID: I20240910001444 |
| Provider Name | Sara Rose Vankoningsveld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104101310 PECOS PAC ID: 9638619240 Enrollment ID: I20240910003468 |
| Provider Name | Sandra Kushnir |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780065045 PECOS PAC ID: 2163889932 Enrollment ID: I20240917003466 |
| Provider Name | Lesli Fillak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982042040 PECOS PAC ID: 2365983152 Enrollment ID: I20240919003518 |
| Provider Name | Jimmy Steve Aguilar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780016071 PECOS PAC ID: 9133650021 Enrollment ID: I20241002003177 |
| Provider Name | Christina Billings |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720554918 PECOS PAC ID: 8123550852 Enrollment ID: I20241018000908 |
| Provider Name | Jennifer Robinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629507231 PECOS PAC ID: 2466984158 Enrollment ID: I20241018003270 |
| Provider Name | Catherine Donnelly Rossi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871144667 PECOS PAC ID: 3274065891 Enrollment ID: I20241021000536 |
| Provider Name | Nancy Le |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124495056 PECOS PAC ID: 4385178185 Enrollment ID: I20241115003477 |
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 | |
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 |