DR. RICHARD L. MASCOLO (NPI# 1295947018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295947018 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L. MASCOLO |
| Credential | PH.D. |
| Practice Address |
2730 Wilshire Blvd. Suite 630 Santa Monica CA 90403 |
| Practice Telephone | 3103352935 |
| Mailing Telephone | 3103352935 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10962 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSYCHOLOGY LICENSE | PSY10962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225079965 | Richard Mascolo | Internal Medicine | 315 W State St, Doylestown, PA 18901-3525 | 2006-06-10 |
| Street Address |
2730 WILSHIRE BLVD. SUITE 630 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215036694 | Richard Alan Willis | Marriage & Family Therapist | 2730 Wilshire Blvd., #250, Santa Monica, CA 90403 | 2006-09-21 |
| 1184916397 | James A Peck Psy D A Psychological Corporation | Psychologist | 2730 Wilshire Blvd., Suite 650, Santa Monica, CA 90403-4746 | 2011-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878181 | Kathryn Eva Sparks | Psychologist | 344 E Rustic Rd, Santa Monica, CA 90402-1145 | 2019-02-25 |
| 1255833596 | June Henderson Mayes | Psychologist | 2444 Wilshire Blvd Ste 400, Santa Monica, CA 90403-5810 | 2018-03-02 |
| 1518475946 | Philip Sayegh | Psychologist | 3301 Ocean Park Blvd Ste 203, Santa Monica, CA 90405-3230 | 2018-01-19 |
| 1881123917 | Brenda Heidrich | Psychologist | 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 | 2017-06-12 |
| 1851838726 | John Watkins | Psychologist | 429 Santa Monica Blvd Ste 200, Santa Monica, CA 90401-3408 | 2017-01-30 |
| 1487198503 | Cathy Quinn | Psychologist | 1137 Second St., #204, Santa Monica, CA 90403-5092 | 2016-12-08 |
| 1639500234 | Alexandra Emmons | Psychologist | 2730 Wilshire Blvd Ste 600-1, Santa Monica, CA 90403-4743 | 2013-12-06 |
| 1558708404 | Nicholas W Techentin | Psychologist | 715 23rd St, Santa Monica, CA 90402-3131 | 2013-06-02 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1043588775 | Timothy Kenji Wong | Psychologist | 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405-3230 | 2011-12-08 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on DR. RICHARD L. MASCOLO.
| 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.