DR. ROBERT WILLIAM ELLIOTT (NPI# 1689725574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689725574 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WILLIAM ELLIOTT |
| Credential | PSYCHOLOGIST |
| Practice Address |
5777 W Century Blvd Ste 1645b Los Angeles CA 90045-5696 |
| Practice Telephone | 3105456400 |
| Practice Fax Number | 3109397065 |
| Mailing Telephone | 3105456400 |
| Mailing Fax Number | 3109397065 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 711 | HI | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PSY5107 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427511393 | Robert Parker Elliott | Occupational Therapist | 11249 Shelterwood Ln, Dallas, TX 75229-4357 | 2019-04-09 |
| 1699270355 | Robert Troy Elliott | Student in an Organized Health Care Education/Training Program | 1150 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-4872 | 2018-03-26 |
| 1942479746 | Robert Michael Elliott | Dermatology | 3001 E Tahquitz Canyon Way Ste 104, Palm Springs, CA 92262-6900 | 2008-02-26 |
| 1396889861 | Robert Turnbull Elliott | Psychiatry & Neurology | Tufts House, 2004 Ridgewood Dr, Suite 218, Atlanta, GA 30322-0001 | 2007-02-17 |
| 1093860769 | Robert Charles Elliott | Dentist | 101 Sundial Dr Ste A, Woodland Park, CO 80863-7769 | 2007-01-24 |
| 1407943236 | Robert D. Elliott | Dentist | 540 New Waverly Pl, Suite 300, Cary, NC 27518-7421 | 2006-10-05 |
| 1417975657 | Robert M Elliott | Chiropractor | 5700 Watkins St, Ooltewah, TN 37363-7811 | 2006-07-17 |
| 1346276334 | Robert Larry Elliott | Surgery | 1600 W. College, Suite 440, Grapevine, TX 76051-3584 | 2006-06-23 |
| 1750326799 | Robert M Elliott | Family Medicine | 415 W Kilpatrick St, Mineola, TX 75773-2032 | 2006-06-16 |
| 1437198686 | Robert Bruce Elliott II | Family Medicine | 500 W Votaw Street, Portland, IN 47371-1322 | 2006-06-05 |
| Street Address |
5777 W CENTURY BLVD STE 1645B |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1528541554 | Marlene Garza | Clinical Neuropsychologist | 7381 La Tijera Blvd Unit 45312, Los Angeles, CA 90045-7017 | 2018-09-14 |
| 1922503739 | Douglas Polster | Clinical Neuropsychologist | 300 Stein Plaza Driveway, Los Angeles, CA 90095-0001 | 2018-03-26 |
| 1356875496 | Vindia G Fernandez | Clinical Neuropsychologist | 760 Westwood Plz # 47-429a, Los Angeles, CA 90095-8353 | 2017-04-15 |
| 1528500428 | Shou-chin Christine You | Clinical Neuropsychologist | Mpac Ucla Semel Institute, 760 Westwood Plaza, C8-852, Los Angeles, CA 90095-1759 | 2016-11-08 |
| 1053766139 | Larry C Bernard | Clinical Neuropsychologist | 8560 W Sunset Blvd, Suite 500, Los Angeles, CA 90069-2311 | 2016-04-26 |
| 1164807954 | Stacey M. Bayan | Clinical Neuropsychologist | 11835 W Olympic Blvd., Ste 1265e, Los Angeles, CA 90064-5814 | 2015-07-22 |
| 1346630944 | Sloane Miller | Clinical Neuropsychologist | 1033 Gayley Ave Ste 208, Los Angeles, CA 90024-3426 | 2015-02-03 |
| 1932458155 | Nora Goudsmit | Clinical Neuropsychologist | 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661 | 2012-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on DR. ROBERT WILLIAM ELLIOTT.
| 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.