| Silver Lake Psychology Inc. | |
|
4325 W Sunset Blvd 206 Los Angeles CA 90029-2174 | |
| (310) 388-7983 | |
| Not Available |
| Full Name | Silver Lake Psychology Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 4325 W Sunset Blvd, Los Angeles, California |
| Authorized Official Name and Position | Brandy Dunn (CEO) |
| Authorized Official Contact | 3103887983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lake Psychology Inc. 4325 W Sunset Blvd 206 Los Angeles CA 90029-2174 Ph: (310) 388-7983 | Silver Lake Psychology Inc. 4325 W Sunset Blvd 206 Los Angeles CA 90029-2174 Ph: (310) 388-7983 |
| NPI Number | 1932651817 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Medicare PECOS PAC ID | 7012250582 |
|---|---|
| Medicare Enrollment ID | O20190524000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932651817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 22512 (California) | Primary |
| Provider Name | Michele L London |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629296140 PECOS PAC ID: 1759564065 Enrollment ID: I20110324000190 |
| Provider Name | Ariel Escobedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922331008 PECOS PAC ID: 9032394069 Enrollment ID: I20110506000124 |
| Provider Name | Jill S Ratliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578750691 PECOS PAC ID: 4082877600 Enrollment ID: I20120518000171 |
| Provider Name | Yuko Ouchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821029703 PECOS PAC ID: 5395971279 Enrollment ID: I20131125000314 |
| Provider Name | Katya Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841326733 PECOS PAC ID: 1759605850 Enrollment ID: I20150120002247 |
| Provider Name | Lori Menendyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619304367 PECOS PAC ID: 8820308802 Enrollment ID: I20151103001549 |
| Provider Name | Brandy Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073713319 PECOS PAC ID: 0749377299 Enrollment ID: I20190524000773 |
| Provider Name | Pedro J Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669818613 PECOS PAC ID: 3072856665 Enrollment ID: I20191216002972 |
| Provider Name | Mallory Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205496932 PECOS PAC ID: 6800220005 Enrollment ID: I20191220002276 |
| Provider Name | Pear M Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194380303 PECOS PAC ID: 4284061219 Enrollment ID: I20200303001774 |
| Provider Name | Erica Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518104751 PECOS PAC ID: 9436586468 Enrollment ID: I20200303001855 |
| Provider Name | Richard Olinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386201861 PECOS PAC ID: 8729416748 Enrollment ID: I20200325000222 |
| Provider Name | Clare Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902017106 PECOS PAC ID: 0749377521 Enrollment ID: I20200723002199 |
| Provider Name | Cornelia Seiffert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821576828 PECOS PAC ID: 9931519188 Enrollment ID: I20201029001997 |
| Provider Name | Meagan A Boersma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144681404 PECOS PAC ID: 9931591369 Enrollment ID: I20220117000285 |
| Provider Name | Mitchell Jack Fryling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811441884 PECOS PAC ID: 5991183766 Enrollment ID: I20220607001596 |
| Provider Name | Robin Kallman-hoving |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871770438 PECOS PAC ID: 6406196138 Enrollment ID: I20220607002239 |
| Provider Name | Jennifer Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013354166 PECOS PAC ID: 5496127672 Enrollment ID: I20230216001562 |
| Provider Name | Audrey Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235617655 PECOS PAC ID: 3072986876 Enrollment ID: I20230226000022 |
| Provider Name | Joseph Acciaioli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164464442 PECOS PAC ID: 4688686140 Enrollment ID: I20230412003250 |
| Provider Name | Sarah S Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831569599 PECOS PAC ID: 5890033476 Enrollment ID: I20230413001509 |
| Provider Name | Brandon Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831307404 PECOS PAC ID: 2961823844 Enrollment ID: I20230418001586 |
| Provider Name | Alexander Tripoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699184879 PECOS PAC ID: 1557726817 Enrollment ID: I20230420002788 |
| Provider Name | Joelle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730798190 PECOS PAC ID: 0244695435 Enrollment ID: I20230421001273 |
| Provider Name | Bret J Fimiani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568713519 PECOS PAC ID: 8426321050 Enrollment ID: I20230425000200 |
| Provider Name | Brian Brosnan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538152467 PECOS PAC ID: 2264477694 Enrollment ID: I20230504003221 |
| Provider Name | Natasha Posey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780191882 PECOS PAC ID: 8820455108 Enrollment ID: I20230531003156 |
| Provider Name | Ursula Noto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063881415 PECOS PAC ID: 2961860796 Enrollment ID: I20230626003010 |
| Provider Name | Nicholas P Beltran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558951210 PECOS PAC ID: 1355709106 Enrollment ID: I20230627000092 |
| Provider Name | Brenda Lee Quiroz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003091836 PECOS PAC ID: 2264881291 Enrollment ID: I20231215000337 |
| Provider Name | Trava Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679007124 PECOS PAC ID: 7719338896 Enrollment ID: I20240112003586 |
| Provider Name | Amara Coopersmith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689153348 PECOS PAC ID: 5799137881 Enrollment ID: I20240112004038 |
| Provider Name | Claudia Acosta Canela |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215406319 PECOS PAC ID: 3577915602 Enrollment ID: I20240114000097 |
| Provider Name | Julia Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770142457 PECOS PAC ID: 5395197420 Enrollment ID: I20240114000113 |
| Provider Name | Katrina Watkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174041750 PECOS PAC ID: 8921450057 Enrollment ID: I20240114000129 |
| Provider Name | Shaundeep Grewal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104336353 PECOS PAC ID: 2567814692 Enrollment ID: I20240114000137 |
| Provider Name | Angelina Castellanos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750605804 PECOS PAC ID: 4385096411 Enrollment ID: I20240114000149 |
| Provider Name | Molly Garber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073087979 PECOS PAC ID: 7911359047 Enrollment ID: I20240114000160 |
| Provider Name | Maria Vazquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225229578 PECOS PAC ID: 1456703529 Enrollment ID: I20240115001297 |
| Provider Name | Carmen Majied-muhammad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154500478 PECOS PAC ID: 6608228671 Enrollment ID: I20240116002452 |
| Provider Name | Jalee Carder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831358530 PECOS PAC ID: 0345683520 Enrollment ID: I20240205001417 |
| Provider Name | Anika J Grant |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649697137 PECOS PAC ID: 3577907989 Enrollment ID: I20240213004488 |
| Provider Name | Katherine Doi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598943235 PECOS PAC ID: 6800231382 Enrollment ID: I20240226000065 |
| Provider Name | Veronica Salcido Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043781453 PECOS PAC ID: 5193160331 Enrollment ID: I20240228000988 |
| Provider Name | Teva Johnstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164944666 PECOS PAC ID: 6305281452 Enrollment ID: I20240228001626 |
| Provider Name | Diana N Abrams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386957926 PECOS PAC ID: 3274978804 Enrollment ID: I20240305001582 |
| Provider Name | Alicia Fahr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720242399 PECOS PAC ID: 2264804020 Enrollment ID: I20240325001796 |
| Provider Name | Bonnie Kash |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730942483 PECOS PAC ID: 3577900562 Enrollment ID: I20240326003389 |
| Provider Name | Vanessa Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972627529 PECOS PAC ID: 4688011687 Enrollment ID: I20240326003722 |
| Provider Name | Kathleen Horsey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013513332 PECOS PAC ID: 3173960176 Enrollment ID: I20240326003943 |
| Provider Name | Tracey Chan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508144676 PECOS PAC ID: 1759729379 Enrollment ID: I20240402002041 |
| Provider Name | Kendra Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063998847 PECOS PAC ID: 2860832755 Enrollment ID: I20240425001208 |
| Provider Name | Navneet Kaur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265808737 PECOS PAC ID: 5395185292 Enrollment ID: I20240425001679 |
| Provider Name | Yasaman Sharifi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578918389 PECOS PAC ID: 0749620656 Enrollment ID: I20240425001765 |
| Provider Name | Maseume Quartararo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861919797 PECOS PAC ID: 0345680260 Enrollment ID: I20240425002311 |
| Provider Name | Sara Stevens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386705093 PECOS PAC ID: 2961848015 Enrollment ID: I20240425002537 |
| Provider Name | Eddie Taracena |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841838554 PECOS PAC ID: 8426498361 Enrollment ID: I20240425003235 |
| Provider Name | Cynthia R Renfrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437705597 PECOS PAC ID: 1850731647 Enrollment ID: I20240426001339 |
| Provider Name | Nidia Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578828919 PECOS PAC ID: 9335589001 Enrollment ID: I20240429000501 |
| Provider Name | Kelley M Tapia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477790731 PECOS PAC ID: 6305286949 Enrollment ID: I20240430003564 |
| Provider Name | Linda E Vermeulen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497198618 PECOS PAC ID: 3476993759 Enrollment ID: I20240503000752 |
| Provider Name | Megan E Lear |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952895120 PECOS PAC ID: 5597106534 Enrollment ID: I20240508002897 |
| Provider Name | Helen Ro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043640022 PECOS PAC ID: 7012358997 Enrollment ID: I20240509000762 |
| Provider Name | Naomi Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538821525 PECOS PAC ID: 9335580224 Enrollment ID: I20240509001012 |
| Provider Name | Claudia Medina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447032834 PECOS PAC ID: 7012358906 Enrollment ID: I20240509001198 |
| Provider Name | Rajni Oberoi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609501725 PECOS PAC ID: 2163863069 Enrollment ID: I20240509001458 |
| Provider Name | Carla R Sciarrino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053669234 PECOS PAC ID: 0042652984 Enrollment ID: I20240523003070 |
| Provider Name | Joshua Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679134886 PECOS PAC ID: 6709238488 Enrollment ID: I20240523003332 |
| Provider Name | Jessica J Ordaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497363899 PECOS PAC ID: 4082056924 Enrollment ID: I20240523003345 |
| Provider Name | Stephen Fox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619359445 PECOS PAC ID: 1658713300 Enrollment ID: I20240525000019 |
| Provider Name | Meirav Bailey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609155134 PECOS PAC ID: 3971945338 Enrollment ID: I20240530002441 |
| Provider Name | Maria Carrera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043685191 PECOS PAC ID: 6507208972 Enrollment ID: I20240530002948 |
| Provider Name | Angelina Nevens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104247105 PECOS PAC ID: 5496297996 Enrollment ID: I20240612002217 |
| Provider Name | Celia Lima Payes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104229889 PECOS PAC ID: 1951843390 Enrollment ID: I20240612004290 |
| Provider Name | Aaron Peter Hansen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932689346 PECOS PAC ID: 9931642170 Enrollment ID: I20240617002119 |
| Provider Name | Lisa Carol Spars |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760544597 PECOS PAC ID: 5193260214 Enrollment ID: I20240712003989 |
| Provider Name | Elizabeth A Janca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689032302 PECOS PAC ID: 5395289268 Enrollment ID: I20240716003996 |
| Provider Name | Amanda L Geiger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346917945 PECOS PAC ID: 6002351855 Enrollment ID: I20240716004109 |
| Provider Name | Ana M Vaughn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265841142 PECOS PAC ID: 1456644608 Enrollment ID: I20240717001343 |
| Provider Name | Kathleen L Flaherty |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063086361 PECOS PAC ID: 3678019064 Enrollment ID: I20240722002619 |
| Provider Name | Lana C Hoyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821385790 PECOS PAC ID: 2365988763 Enrollment ID: I20240722002754 |
| Provider Name | Amanda L Qaqish |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972991958 PECOS PAC ID: 5799221149 Enrollment ID: I20240723000260 |
| Provider Name | Marisa Crimeni-summers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073844254 PECOS PAC ID: 5395281588 Enrollment ID: I20240724001469 |
| Provider Name | Aubrey M Valleau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972146835 PECOS PAC ID: 9638505035 Enrollment ID: I20240729002769 |
| Provider Name | Mellissa Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447700380 PECOS PAC ID: 9335686161 Enrollment ID: I20240730000853 |
| Provider Name | Haeley Nibarger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386306868 PECOS PAC ID: 3779020037 Enrollment ID: I20240805000579 |
| Provider Name | Laurel A Chace |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407699564 PECOS PAC ID: 6800333170 Enrollment ID: I20240805000837 |
| Provider Name | Melissa Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952647513 PECOS PAC ID: 9436591716 Enrollment ID: I20240816001249 |
| Provider Name | Kristina Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689233686 PECOS PAC ID: 1557809720 Enrollment ID: I20240819003649 |
| Provider Name | Robbie Thompson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043764715 PECOS PAC ID: 4587104518 Enrollment ID: I20240905001543 |
| Provider Name | Ashley Delgado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356710388 PECOS PAC ID: 1456891324 Enrollment ID: I20240905003743 |
| Provider Name | Debbie French |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417128794 PECOS PAC ID: 1951752419 Enrollment ID: I20240905003898 |
| Provider Name | Sara R Vankoningsveld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104101310 PECOS PAC ID: 9638619240 Enrollment ID: I20240910003468 |
| Provider Name | Amanda Elizondo-fessler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083278220 PECOS PAC ID: 8729529946 Enrollment ID: I20240916001024 |
| Provider Name | Eileen M Lake |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306545686 PECOS PAC ID: 2769923929 Enrollment ID: I20240916002541 |
| Provider Name | Kerri A Freeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255478061 PECOS PAC ID: 1658812532 Enrollment ID: I20240918004066 |
| Provider Name | Imari Kowalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447785597 PECOS PAC ID: 4284165507 Enrollment ID: I20240926004286 |
| Provider Name | Latoya Cheathon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447530514 PECOS PAC ID: 0547791345 Enrollment ID: I20241003003466 |
| Provider Name | Melissa Carey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609351451 PECOS PAC ID: 5294267910 Enrollment ID: I20241018000503 |
| Provider Name | Camille Reinecker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306487715 PECOS PAC ID: 7517499213 Enrollment ID: I20241018003584 |
| Provider Name | Ryan Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255961132 PECOS PAC ID: 3870028954 Enrollment ID: I20241126003019 |
| Provider Name | Sharon Lemire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447960554 PECOS PAC ID: 4183152747 Enrollment ID: I20250109002193 |
| Provider Name | Peggy A Barrett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063638237 PECOS PAC ID: 2264611433 Enrollment ID: I20250213003170 |
| Provider Name | Sydney Pranitis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104498435 PECOS PAC ID: 5698296531 Enrollment ID: I20250307000056 |
| Provider Name | Amy J Brenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053442830 PECOS PAC ID: 2769905058 Enrollment ID: I20250327001399 |
| Provider Name | Ashley Rollerson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184219230 PECOS PAC ID: 2860917606 Enrollment ID: I20250415001242 |
| Provider Name | Kate L Kutner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912229352 PECOS PAC ID: 9133644107 Enrollment ID: I20250422003660 |
| Provider Name | Julie A Ray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891211371 PECOS PAC ID: 4284159153 Enrollment ID: I20250423002127 |
| Provider Name | Denise Brady |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578791265 PECOS PAC ID: 0143745034 Enrollment ID: I20250423002667 |
| Provider Name | Crystal Gil |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902603319 PECOS PAC ID: 5193242147 Enrollment ID: I20250505000468 |
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 | |
Psychological Care And Healing Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10700 Santa Monica Blvd Ste 300, Los Angeles, CA 90025 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 |