SOUTHLAND PSYCHOLOGY INC (NPI# 1043738412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043738412 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND PSYCHOLOGY INC |
| Practice Address |
15300 Ventura Blvd Ste 301 Sherman Oaks CA 91403-3103 |
| Practice Telephone | 3105518535 |
| Mailing Telephone | 3105518535 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JANE BERESFORD (PSY.D, OWNER) |
| Authorized Official Telephone | 3105518535 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
16618 | CA | Behavioral Health & Social Service Providers |
| Street Address |
15300 VENTURA BLVD STE 301 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962878793 | Michele Economou | Marriage & Family Therapist | 15300 Ventura Blvd Ste 301, Sherman Oaks, CA 91403-5865 | 2015-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245747260 | Audrey Davidheiser | Psychologist | 15335 Morrison St Ste 315, Sherman Oaks, CA 91403-1589 | 2017-12-29 |
| 1568848950 | Elizabeth Anne Norris-walczak | Psychologist | 13701 Riverside Dr Ste 409, Sherman Oaks, CA 91423-2448 | 2015-08-07 |
| 1588085005 | Western Pacific Psychological Network Inc. | Psychologist | 15233 Ventura Blvd Ste 350, Sherman Oaks, CA 91403-2297 | 2013-12-31 |
| 1316377013 | Bruce Ludmir | Psychologist | 15130 Ventura Blvd., Ste. 323, Sherman Oaks, CA 91403 | 2013-11-15 |
| 1659621480 | Western Pacific Psychological Network, Inc | Psychologist | 5900 Sepulveda Blvd Ste 370, Sherman Oaks, CA 91411 | 2012-09-19 |
| 1831469790 | Judy Rosenberg | Psychologist | 15615 Castlewoods Dr, Sherman Oaks, CA 91403-4806 | 2012-01-10 |
| 1023251501 | Roberta Lichter | Psychologist | 14318 Martha St, Sherman Oaks, CA 91401-4618 | 2009-04-13 |
| 1487896379 | Karen B Conway | Psychologist | 5000 Van Nuys Blvd Ste 460, Sherman Oaks, CA 91403-1793 | 2009-03-24 |
| 1679721849 | Ariella Sandra Reisner | Psychologist | 4714 Tobias Ave, Sherman Oaks, CA 91403-2825 | 2008-08-30 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on SOUTHLAND PSYCHOLOGY INC.
| 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.