THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC. (NPI# 1376913400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376913400 |
| Entity Type | Organization |
| Organization Name | THE CAMDEN CENTER OLDER ADULTS PROGRAM, INC. |
| Practice Address |
10780 Santa Monica Blvd Ste 105 Los Angeles CA 90025-7613 |
| Practice Telephone | 8444226336 |
| Practice Fax Number | 8888872955 |
| Mailing Telephone | 8444226336 |
| Mailing Fax Number | 8888872955 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | MISS JESSICA KLEIN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8444226336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSB4021549 | CA | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A112538 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
39712 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10780 SANTA MONICA BLVD STE 105 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871714592 | Judy Ann Metz | Marriage & Family Therapist | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2007-05-01 |
| 1457766461 | Laura Catherine Roberts | Marriage & Family Therapist | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2014-06-27 |
| 1770710501 | Brian Hurley | Psychiatry & Neurology | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134152754 | Kotra Ajir | Psychiatry & Neurology | 300 Med Plz, Los Angeles, CA 90095-0001 | 2006-07-08 |
| 1609806512 | G&g Healthcare, Inc. | Psychiatry & Neurology | 345 N Orange Dr, Los Angeles, CA 90036-2613 | 2006-07-04 |
| 1306897053 | Robert Elliot Neshkes | Psychiatry & Neurology | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2006-05-15 |
| 1386047587 | Lindsay Embree | Psychiatry & Neurology | 760 Westwood Plz, Rm 38-225, Los Angeles, CA 90095-8353 | 2014-10-01 |
| 1497042287 | Kyle Joseph Bechaz | Psychiatry & Neurology | 760 Westwood Plz, Los Angeles, CA 90024-5055 | 2011-06-30 |
| 1841465622 | Center for Bio-behavioral Science Medical Corporation | Psychiatry & Neurology | 2080 Century Park E, 308, Los Angeles, CA 90067-2006 | 2008-04-23 |
| 1942332960 | Daniel Alan Plotkin | Psychiatry & Neurology | 1823 Sawtelle Blvd, Los Angeles, CA 90025-5532 | 2007-03-12 |
| 1194813725 | Sarah Ellen Hays | Psychiatry & Neurology | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-10-10 |
| 1194812461 | David L Sultzer | Psychiatry & Neurology | 11301 Wilshire Blvd, Psychiatry, Los Angeles, CA 90073-1003 | 2006-10-06 |
| 1366551012 | Joan Frances Scheibel | Psychiatry & Neurology | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-08-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.