PAMELA SUE PINE (NPI# 1407933005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407933005 |
| Entity Type | Individual |
| Full Name | PAMELA SUE PINE |
| Credential | PH.D. |
| Practice Address |
9735 Wilshire Blvd Ste 212 Beverly Hills CA 90212-2102 |
| Practice Telephone | 3102751867 |
| Practice Fax Number | 3102754838 |
| Mailing Telephone | 3102751867 |
| Mailing Fax Number | 3102754838 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY16970 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY6970 | CA | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY16970 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY16970 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY16970 | CA | Behavioral Health & Social Service Providers |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
PSY16970 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY16970 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT17040 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUEOPTIONS | 160373 | 01 | |
| CA | BLUE CROSS | 710955581 | 01 |
| CA | DEPT OF LABOR | 202957000 | 01 |
| Street Address |
9735 WILSHIRE BLVD STE 212 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760634158 | Michael J Whitman | Psychologist | 9735 Wilshire Blvd Ste 212, Beverly Hills, CA 90212-2102 | 2008-10-16 |
| 1689840126 | Pine Psychological Services A Professional Corporation | Psychologist | 9735 Wilshire Blvd Ste 212, Beverly Hills, CA 90212-2102 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266021 | Reconnect Relationship, A Professional Psychology Corporation | Psychologist | 499 N Canon Dr Ste 216, Beverly Hills, CA 90210-4887 | 2020-05-15 |
| 1366073975 | Monica S. Wu | Psychologist | 9454 Wilshire Blvd Ph 1025, Beverly Hills, CA 90212-2937 | 2020-02-01 |
| 1215588983 | Dana Tal Jebreel | Psychologist | 450 N Bedford Dr Ste 204, Beverly Hills, CA 90210-4306 | 2019-09-24 |
| 1427610831 | Rebecca Lesser Allen | Psychologist | 451 N Canon Dr, Beverly Hills, CA 90210-4890 | 2019-07-05 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1366931339 | Dr. C Shoham Psychological Services | Psychologist | 9454 Wilshire Blvd Ste 24, Beverly Hills, CA 90212-2931 | 2018-05-05 |
| 1134636764 | Catherine Renee Selden | Psychologist | 433 N Camden Dr Fl 4, Beverly Hills, CA 90210-4408 | 2018-01-04 |
| 1962941450 | Blair Wellness Group A Professional Psychological Corp | Psychologist | 9454 Wilshire Blvd Ph6, Beverly Hills, CA 90212-2937 | 2017-02-16 |
| 1306398342 | Jill Model Barth | Psychologist | 249 S Rodeo Dr, Suite A, Beverly Hills, CA 90212-3803 | 2016-10-25 |
| 1285094508 | David E. Kronemyer | Psychologist | 9812 Gloucester Dr, Beverly Hills, CA 90210-1015 | 2016-02-29 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on PAMELA SUE PINE.
| 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.