SO CAL CHILD THERAPY (NPI# 1730556986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730556986 |
| Entity Type | Organization |
| Organization Name | SO CAL CHILD THERAPY |
| Practice Address |
19720 Ventura Blvd Ste C Woodland Hills CA 91364-2676 |
| Practice Telephone | 8188040322 |
| Mailing Telephone | 8188040322 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | MS. BETH JAKUBANIS (DIRECTOR) |
| Authorized Official Telephone | 8188040322 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMF79358 | CA | Agencies |
| Street Address |
19720 VENTURA BLVD STE C |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255494647 | Kameron Kristen Moody | Counselor | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364 | 2006-12-18 |
| 1619530466 | Rita Funk | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2019-04-17 |
| 1851859383 | Stephanie Moriah Mason | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2019-03-04 |
| 1821591660 | Brandy Reid | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2018-03-16 |
| 1972014058 | Marcy B Polsky | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2017-10-17 |
| 1073033239 | Abby Krom | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2017-06-20 |
| 1356878177 | Elise Guthmann | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2017-05-11 |
| 1871956656 | Socal Therapy Center, Inc. | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2016-03-30 |
| 1093055048 | Shira Ann Makler | Social Worker | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364-2676 | 2013-02-27 |
| 1477814911 | Tara Jean Boerner | Marriage & Family Therapist | 19720 Ventura Blvd Ste C, Woodland Hills, CA 91364 | 2012-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574395 | Andrea Brown | Community/Behavioral Health | 6250 Canoga Ave Apt 359, Woodland Hills, CA 91367-2488 | 2020-03-27 |
| 1053978874 | Manifest Sylvan Operation, LLC | Community/Behavioral Health | 22703 Sylvan St, Woodland Hills, CA 91367-1625 | 2019-05-28 |
| 1720642804 | Stairways Recovery Homes Inc | Community/Behavioral Health | 22913 Burbank Blvd, Woodland Hills, CA 91367-4203 | 2019-04-24 |
| 1184185639 | Valley Jewish Community Center | Community/Behavioral Health | 20350 Ventura Blvd Ste 100, Woodland Hills, CA 91364-2480 | 2019-03-27 |
| 1477031144 | Tarzana Treatment Centers, Inc | Community/Behavioral Health | 6018 Variel Ave, Woodland Hills, CA 91367-3719 | 2018-08-03 |
| 1942577036 | Instant Advice Network Ianchat.com | Community/Behavioral Health | 6303 Owensmouth Ave, 10th Floor, Woodland Hills, CA 91367-2264 | 2011-11-17 |
| 1548563802 | Children's Developmental Milestones | Community/Behavioral Health | 21241 Ventura Blvd Ste 187, Woodland Hills, CA 91364-2196 | 2010-12-08 |
| 1669627097 | Creative Behavioral Consultants, Inc. | Community/Behavioral Health | 22055 Clarendon St Ste 208, Woodland Hills, CA 91367-6354 | 2008-11-26 |
| 1396223103 | Tarzana Treatment Centers, Inc | Community/Behavioral Health | 6022 Variel Ave, Woodland Hills, CA 91367-3719 | 2018-08-02 |
| 1174066435 | Optimist Boys Home & Ranch, Inc. | Community/Behavioral Health | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2016-11-18 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
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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.