KENNETH SUBOTNIK, PH.D., INC (NPI# 1598924953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598924953 |
| Entity Type | Organization |
| Organization Name | KENNETH SUBOTNIK, PH.D., INC |
| Practice Address |
10850 Wilshire Blvd Ste 240 Los Angeles CA 90024-4308 |
| Practice Telephone | 3108244600 |
| Mailing Telephone | 3108244600 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. KENNETH LEE SUBOTNIK (DIRECTOR) |
| Authorized Official Telephone | 3108244600 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PSY12770 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY127700 | 05 | |
| CA | CALIFORNIA PSYCHOLOGIST LICENSE | PSY12770 | 01 |
| Street Address |
10850 WILSHIRE BLVD STE 240 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1124640610 | Brothers Lcsw Inc | Clinic/Center | 617 S Olive St Ste 906, Los Angeles, CA 90014-1630 | 2020-05-07 |
| 1508494659 | Noah Hass-cohen Psyd Psychology, Inc. | Clinic/Center | 640 S San Vicente Blvd Ste 264, Los Angeles, CA 90048-4884 | 2020-04-01 |
| 1013438316 | 1334 Westwood, LLC | Clinic/Center | 1334 Westwood Blvd Ste 3a, Los Angeles, CA 90024-4951 | 2017-06-28 |
| 1770947525 | Dr Jeremy Martinez Md A Professional Corporation | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014 | 2016-04-07 |
| 1285008862 | Imedventures, LLC | Clinic/Center | 2477 Fletcher Dr, Suite C, Los Angeles, CA 90039-2801 | 2015-11-19 |
| 1295108272 | Hadassah Brain Center Inc. | Clinic/Center | 8631 W 3rd St Ste 225e, Los Angeles, CA 90048-5940 | 2015-11-12 |
| 1124496039 | Resilience Treatment Center | Clinic/Center | 1940 Century Park E, Suite 200, Los Angeles, CA 90067-1700 | 2015-09-09 |
| 1689040313 | Ceola Morgan | Clinic/Center | 2421 8th Ave, Los Angeles, CA 90018-1767 | 2015-08-17 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on KENNETH SUBOTNIK, PH.D., INC.
| 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.