DR. MEREDITH A HANNAN (NPI# 1194952051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194952051 |
| Entity Type | Individual |
| Full Name | DR. MEREDITH A HANNAN |
| Credential | MD, PHD |
| Practice Address |
19231 Victory Blvd Ste 110 Reseda CA 91335-6321 |
| Practice Telephone | 8187084500 |
| Mailing Telephone | 8187084500 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A115789 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14535 Sherman Cir, Van Nuys, CA 914053087 | 8189014930 |
| Street Address |
19231 VICTORY BLVD STE 110 |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386658714 | Los Angeles County Department of Mental Health | Clinic/Center | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2006-07-29 |
| 1811478944 | Kimberly Stephanie Recinos | Social Worker | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2018-08-27 |
| 1396111340 | Amanda Kristina Lawrence | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2015-08-13 |
| 1083014906 | Sandy Corina Equite-rodas | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2014-08-28 |
| 1215368758 | Michael Joseph Lee | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2013-12-10 |
| 1659708642 | Sarah Tallentire | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2013-10-04 |
| 1447503867 | Laura Aguilar | Social Worker | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2012-10-23 |
| 1134478449 | Christina L Nadel | Psychologist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2012-08-31 |
| 1306073952 | Shannon Renee Vanderberg | Marriage & Family Therapist | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2009-06-22 |
| 1659528875 | Valerie Anne Ortega | Counselor | 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | 2008-08-19 |
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|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578976981 | Marat Nadirovich Shamsutdinov | Psychiatry & Neurology | 18040 Sherman Way, Reseda, CA 91335-4631 | 2014-06-04 |
| 1356417547 | Laurence Adam Glasser | Psychiatry & Neurology | 19231 Victory Blvd, 110, Reseda, CA 91335-6308 | 2006-11-28 |
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| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| 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.