| Santa Monica Therapy, A Psychology Corporation | |
|
3301 Ocean Park Blvd Ste 210 Santa Monica CA 90405-3230 | |
| (310) 845-6720 | |
| Not Available |
| Full Name | Santa Monica Therapy, A Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 3301 Ocean Park Blvd Ste 210, Santa Monica, California |
| Authorized Official Name and Position | Timothy Wong (OWNER) |
| Authorized Official Contact | 3108456720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Monica Therapy, A Psychology Corporation 3301 Ocean Park Blvd Ste 210 Santa Monica CA 90405-3230 Ph: () - | Santa Monica Therapy, A Psychology Corporation 3301 Ocean Park Blvd Ste 210 Santa Monica CA 90405-3230 Ph: (310) 845-6720 |
| NPI Number | 1962967372 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 7012258346 |
|---|---|
| Medicare Enrollment ID | O20190413000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962967372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy Kenji Wong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043588775 PECOS PAC ID: 7214226190 Enrollment ID: I20160516002417 |
| Provider Name | Lori Meono |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093023079 PECOS PAC ID: 7315357621 Enrollment ID: I20201027002532 |
| Provider Name | Tara Fairbanks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750781118 PECOS PAC ID: 0446662761 Enrollment ID: I20201210001057 |
| Provider Name | Christopher Schadt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952933517 PECOS PAC ID: 2365851870 Enrollment ID: I20210513002609 |
| Provider Name | Megan Brittany Cser Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730710518 PECOS PAC ID: 3870993033 Enrollment ID: I20210610001014 |
Step By Step Edu-play Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 14th St, Santa Monica, CA 90404 Phone: 310-339-9092 Fax: 310-587-0020 | |
Heart Theory Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Pier Ave Ste 5, Santa Monica, CA 90405 Phone: 310-880-3825 | |
Gideon Psychology, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1452 26th St Ste 106, Santa Monica, CA 90404 Phone: 626-325-9321 | |
Healing House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1865 9th Street, Santa Monica, CA 90404 Phone: 310-314-6200 Fax: 310-450-2024 | |
A New Journey Eating Disorder Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2716 Ocean Park Blvd Ste 3020, Santa Monica, CA 90405 Phone: 310-829-9161 Fax: 310-829-9055 | |
Edelman-santa Monica High Sch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Pico Blvd, Ad 508-513, Santa Monica, CA 90405 Phone: 310-482-3200 Fax: 310-915-8579 | |
King Family Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 7th St Ste 306, Santa Monica, CA 90401 Phone: 424-261-5250 |