DR. MARY ELIZABETH LARGE (NPI# 1508983941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508983941 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH LARGE |
| Other Name | MRS. MARY ELIZABETH JOHNSON |
| Credential | PH.D. |
| Practice Address |
370 N Westlake Blvd Suite 220 Westlake Village CA 91362-3762 |
| Mailing Address |
5699 Kanan Rd Suite 179 Agoura Hills CA 91301-3358 |
| Practice Telephone | 8182150863 |
| Practice Fax Number | 8187063061 |
| Mailing Telephone | 8182150863 |
| Mailing Fax Number | 8187063061 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PSY14347 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14347 | CA | Behavioral Health & Social Service Providers |
| Street Address |
370 N WESTLAKE BLVD SUITE 220 |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91362-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760538003 | Deborah Sue Barber | Psychologist | 370 N Westlake Blvd, Suite 220, Westlake Village, CA 91362-3762 | 2007-01-27 |
| 1639395742 | Nancy Kay Gardner | Psychologist | 370 N Westlake Blvd, Suite 220, Westlake Village, CA 91362-3762 | 2007-04-17 |
| 1487782298 | James Edward Landen | Psychiatry & Neurology | 370 N Westlake Blvd, Suite 220, Westlake Village, CA 91362-7041 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538624200 | Scott Myers | Physical Therapist | 1145 Lindero Canyon Rd Ste D7, Thousand Oaks, CA 91362 | 2019-02-06 |
| 1366940827 | Kevin A Attaie Pharmaceutical, Inc | Pharmacy | 2945 Townsgate Rd., Suite 200, Westlake Village, CA 91362 | 2018-01-30 |
| 1497294953 | Tiffany Shah | Marriage & Family Therapist | 128 Auburn Ct Ste 106, Westlake Village, CA 91362 | 2017-02-16 |
| 1538604913 | Robin Sakakini | Psychologist | 31255 Cedar Valley Road, Westlake Village, CA 91362 | 2016-12-21 |
| 1851843858 | Trusted Family Homecare | In Home Supportive Care | 1429 E Thousand Oaks Blvd Ste 201, Thousand Oaks, CA 91362 | 2016-10-26 |
| 1396191896 | Andrey Rossius Dds Inc | Dentist | 3665 East Thousand Oaks Blvd, Westlake Village, CA 91362 | 2016-05-13 |
| 1497130462 | Jennifer Kopczynski | Marriage & Family Therapist | 4035 E Thousand Oaks Blvd Ste 100, Westlake Village, CA 91362 | 2015-07-20 |
| 1588057335 | Allison Lieberman | Marriage & Family Therapist | 31194 La Baya Dr Ste 202, Westlake Village, CA 91362 | 2015-03-17 |
| 1427449586 | Natalie Mondschein | Massage Therapist | 128 Auburn Court, Suite 100, Westlake Village, CA 91362 | 2015-02-11 |
| 1891193538 | Rylist, Inc. | Substance Abuse Rehabilitation Facility | 1154 Cardiff Cir, Thousand Oaks, CA 91362 | 2014-12-11 |
| Find all providers in zip 91362 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619256443 | Beth Michelle Baumeister | Clinical Neuropsychologist | 2239 Townsgate Rd, Suite 107, Westlake Village, CA 91361-2405 | 2011-08-10 |
| 1871719526 | Harold Lamar Burke | Clinical Neuropsychologist | 2277 Townsgate Rd, Suite 220, Westlake Village, CA 91361-2406 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91362 |
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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.