PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER (NPI# 1003135906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003135906 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER |
| Other Organization Name | PCH TREATMENT |
| Practice Address |
11965 Venice Blvd Suite 407 Los Angeles CA 90066-3979 |
| Practice Telephone | 3105667625 |
| Practice Fax Number | 3105667629 |
| Mailing Telephone | 3105667625 |
| Mailing Fax Number | 3105667629 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | JEFFERY BALL (EXECUTIVE AND CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3105718040 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| PCH Treatment | Other Name - Individual/Organization |
| Street Address |
11965 VENICE BLVD SUITE 407 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-3979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720162530 | Paul Michael Dawson | Physical Therapist | 11965 Venice Blvd, Suite 404, Los Angeles, CA 90066-3979 | 2006-10-25 |
| 1235526005 | Ellen Geheber Davis | Acupuncturist | 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066-3979 | 2015-04-20 |
| 1467857482 | Erica Julson | Dietitian, Registered | 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 | 2014-11-03 |
| 1750711289 | Bright Beginnings for Kids, Inc. | Occupational Therapist | 11965 Venice Blvd, Suite 408, Los Angeles, CA 90066-3979 | 2013-11-19 |
| 1780936633 | Jill Davenport | Massage Therapist | 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 | 2012-10-02 |
| 1891067682 | Kimberly Ann Durdin | Lactation Consultant, Non-RN | 11965 Venice Blvd, #307, Los Angeles, CA 90066-3979 | 2012-02-08 |
| 1760766448 | Tyler Takayuki Kubota | Acupuncturist | 11965 Venice Blvd, Ste 209, Los Angeles, CA 90066-3979 | 2011-09-29 |
| 1649554403 | Seth Kadish | Psychologist | 11965 Venice Blvd, Suite 202, Los Angeles, CA 90066-3979 | 2011-09-28 |
| 1790085942 | The Sanctuary Birth & Family Wellness Center | Clinic/Center | 11965 Venice Blvd, Suite 307, Los Angeles, CA 90066-3979 | 2010-10-21 |
| 1053628388 | Mary Kathleen Passehl | Marriage & Family Therapist | 11965 Venice Blvd, Suite 405, Los Angeles, CA 90066-3979 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528574019 | Jori Adler Marriage & Family Therapy Prof. Corp. | Psychologist | 3846 Lyceum Ave, Los Angeles, CA 90066-4125 | 2017-12-19 |
| 1417470329 | Thomas Joseph Pier | Psychologist | 8075 W 3rd St Ste 306, Los Angeles, CA 90048-4334 | 2017-07-23 |
| 1972944734 | Life Management Skills Psychological Corporation | Psychologist | 822 S Robertson Blvd, Suite 300, Los Angeles, CA 90035-1613 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1205455250 | Vladimir Anoyan | Psychologist | 376 Amherst Dr Apt A, Burbank, CA 91504-4220 | 2020-04-09 |
| 1235770181 | The Lotus Collaborative, Inc., A Psychology Clinic | Psychologist | 611 Mission St, Santa Cruz, CA 95060-3612 | 2019-10-02 |
| 1841845716 | Jonathan Pappas Marriage Family Therapy Inc. | Psychologist | 100 E Thousand Oaks Blvd Ste 326, Thousand Oaks, CA 91360-5713 | 2019-08-07 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1609396472 | Rosanne Miranda | Psychologist | 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 | 2017-06-22 |
| 1972055655 | Richard Linares | Psychologist | 270 W 5th St, Oxnard, CA 93030-7107 | 2016-10-28 |
| 1912397787 | Operation:i.v.,inc | Psychologist | 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 | 2015-01-30 |
| 1427486133 | Apex Recovery and Wellness, A Professional Corp. | Psychologist | 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 | 2013-10-16 |
| 1154768307 | Redwood Psychology Center, Inc. | Psychologist | 709 Davis St, Santa Rosa, CA 95401-4767 | 2013-05-29 |
| 1881938942 | Beth E. C. Curtin | Psychologist | 19375 River Road, Monte Rio, CA 95462 | 2012-11-15 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.