DR. PAMELA DIRHAM


Address: 725 Marco Pl, Venice, CA 90291-3805
Phone: 3104709957

DR. PAMELA DIRHAM (NPI# 1386093961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386093961
Entity Type Individual
Full Name DR. PAMELA DIRHAM
Credential PH.D.
Practice Address 725 Marco Pl
Venice
CA 90291-3805
Practice Telephone 3104709957
Mailing Telephone 3104709957
Enumeration Date 2016-06-06
Last Update Date 2016-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY13854 CA Behavioral Health & Social Service Providers

Office Location

Street Address 725 MARCO PL
City VENICE
State CA
Zip Code 90291-3805

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NPI Name Taxonomy Address Enumeration
1033629837 Dylan Booth Dentist 601 Vernon Ave, Venice, CA 90291 2017-10-05
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1003218660 Patricia Guadalupe Rivas Counselor 717 Lincoln Blvd., Venice, CA 90291 2014-09-25
1497016877 Carrie Lynn Kowalski Physician Assistant 604 Rose Avenue, Venice, CA 90291 2012-06-02
1821364761 Cheryl Lynn Perkins Nutritionist 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 2012-03-26
1629391875 James L. Hoff Optometrist 1636 Abbot Kinney Blvd., Venice, CA 90291 2010-03-02
1720315096 Kristen Nicol Leishman Counselor 911 Coeur D'alene Ave, Venice, CA 90291 2009-11-06
1922237882 David Anthony Garcia Physician Assistant 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 2009-07-13
1548411010 David Watts Acupuncturist 307 S. Robertson Blvd, Beverly Hills, CA 90291 2008-10-02
1184891699 Judy Alexander Voluntary or Charitable 204 Hampton Drive, St Joseph Center, Venice, CA 90291 2008-05-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215205547 William D Horton Psychologist 1532 Us Highway 41 Byp S, Ste 287, Venice, FL 34293-1032 2011-12-01
1376738252 Irma Hawkins Psychologist 419 Carroll Canal, Venice, CA 90291 2007-09-13
1366583585 Ira Daniel Turkat Psychologist 503 Tamiami Trl S, #135, Venice, FL 34285-2927 2007-02-09
1629160775 Christopher Michael Cortman Psychologist 871 Venetia Bay Blvd, Suite 360, Venice, FL 34285-8047 2006-09-28
1669495081 Phyllis K. Jensen Psychologist 871 Venetia Bay Blvd Ste 360, Venice, FL 34285-8051 2006-07-26
1033593884 Joseph Ryan Mccowan Psychologist 204 Hampton Dr, Venice, CA 90291-8633 2015-07-10
1538559265 Jerry Thompson Psychologist 263 Royal Oak Way, Venice, FL 34292-3189 2015-02-03
1467727016 Christopher M Cortman Doctor of Psychology Pa Psychologist 871 Venetia Bay Blvd, Ste 360, Venice, FL 34285-8051 2012-03-15
1760750004 Psych Services Incorporated Psychologist 1532 Us Highway 41 Byp S, Ste 287, Venice, FL 34293-1032 2011-12-01
1528398625 Sharon Jean Peachey Marshall Psychologist 871 Venetia Bay Blvd, Suite 360, Venice, FL 34285-8047 2010-01-12
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Competitor

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City VENICE
Zip Code 90291

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Dataset Information

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.

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