| Sherman Oaks Mental Health Group Gp | |
|
14724 Ventura Blvd Ste 1100 Sherman Oaks CA 91403-3511 | |
| (818) 995-8292 | |
| Not Available |
| Full Name | Sherman Oaks Mental Health Group Gp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14724 Ventura Blvd Ste 1100, Sherman Oaks, California |
| Authorized Official Name and Position | Kelly Craig Jones (PARTNER) |
| Authorized Official Contact | 8189958292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherman Oaks Mental Health Group Gp 14724 Ventura Blvd Ste 1100 Sherman Oaks CA 91403-3511 Ph: (818) 995-8292 | Sherman Oaks Mental Health Group Gp 14724 Ventura Blvd Ste 1100 Sherman Oaks CA 91403-3511 Ph: (818) 995-8292 |
| NPI Number | 1477961142 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 4385928704 |
|---|---|
| Medicare Enrollment ID | O20170303000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477961142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (California) | Primary |
| Provider Name | Kelly C Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699899757 PECOS PAC ID: 0042593097 Enrollment ID: I20170216002778 |
| Provider Name | Carolyn Satzman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639158975 PECOS PAC ID: 4789969742 Enrollment ID: I20240108000980 |
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