SUDA CENTERS, INC. (NPI# 1699264952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699264952 |
Entity Type | Organization |
Organization Name | SUDA CENTERS, INC. |
Practice Address |
15720 Ventura Blvd Encino CA 91436-2914 |
Mailing Address |
3115 Scotland St Los Angeles CA 90039-2505 |
Practice Telephone | 3234596264 |
Mailing Telephone | 3239539571 |
Enumeration Date | 2018-05-02 |
Last Update Date | 2018-05-02 |
Authorized Official Name | DAVID BUIK (PRESIDENT) |
Authorized Official Telephone | 3234596264 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
15720 VENTURA BLVD |
City | ENCINO |
State | CA |
Zip Code | 91436-2914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578546636 | Candice Sherbin | Counselor | 15720 Ventura Blvd, Suite 512, Encino, CA 91436-2914 | 2005-11-22 |
1881117505 | Med Services Corporation | Clinic/Center | 15720 Ventura Blvd, 220, Encino, CA 91436 | 2017-07-25 |
1912431347 | Lorena Pola | Speech-Language Pathologist | 15720 Ventura Blvd, Suite 503, Encino, CA 91436-2914 | 2017-04-12 |
1114451580 | Litha Rose Jose | Speech-Language Pathologist | 15720 Ventura Blvd, Suite 503, Encino, CA 91436-2914 | 2017-04-12 |
1174064810 | Michelle L Salas | Behavioral Analyst | 15720 Ventura Blvd, Suite 403, Encino, CA 91436-2914 | 2017-03-14 |
1750828729 | Michael Aragon | Behavioral Analyst | 15720 Ventura Blvd, Suite 403, Encino, CA 91436-2914 | 2017-01-27 |
1225575939 | Elizabeth Marquez | Behavioral Analyst | 15720 Ventura Blvd, 403, Encino, CA 91436-2914 | 2017-01-20 |
1235674391 | Sev Baron | Behavioral Analyst | 15720 Ventura Blvd, Suite 403, Encino, CA 91436-2914 | 2016-12-28 |
1841650819 | Natoya Evans | Behavioral Analyst | 15720 Ventura Blvd, 403, Encino, CA 91436-2914 | 2016-03-03 |
1023478575 | Maha Ur Rehman | Behavioral Analyst | 15720 Ventura Blvd, 403, Encino, CA 91436-2914 | 2016-02-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
Find all providers in zip 91436 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619394830 | Stanley J. Leiken, Md Inc. | Clinic/Center | 16311 Ventura Blvd, 1050, Encino, CA 91436-2124 | 2014-03-26 |
1548507775 | Dr John Y Lee Clinical Psychologist | Clinic/Center | 16161 Ventura Blvd, 224, Encino, CA 91436-2522 | 2013-01-08 |
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1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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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.