DR. PAMELA NICELY (NPI# 1760586051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760586051 |
Entity Type | Individual |
Full Name | DR. PAMELA NICELY |
Credential | PH.D. |
Practice Address |
4419 Coldwater Canyon Ave Ste J Studio City CA 91604-1479 |
Practice Telephone | 8187953676 |
Practice Fax Number | 8564411429 |
Mailing Telephone | 8187953676 |
Mailing Fax Number | 8564411429 |
Enumeration Date | 2006-09-08 |
Last Update Date | 2014-05-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY16450 | CA | Behavioral Health & Social Service Providers |
Street Address |
4419 COLDWATER CANYON AVE STE J |
City | STUDIO CITY |
State | CA |
Zip Code | 91604-1479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
1134774441 | Elizabeth Anne Wells | Social Worker | 4512 St. Clair Ave., Studio City, CA 91604 | 2019-08-04 |
1740751262 | Luminita Elena Docan | Counselor | 12456 Laurel Terrace Dr, #1, Studio City, CA 91604 | 2018-12-10 |
1568981041 | Lost Sheep, LLC | Substance Abuse Rehabilitation Facility | 4198 Sunswept Drive, Los Angeles, CA 91604 | 2017-09-15 |
1376072652 | Ambursd Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 11012 Ventura Blvd Suite # H, Studio City, CA 91604 | 2017-06-08 |
1134502784 | Stephen Earl Genender | Plastic Surgery | 3293 Wrightwood Dr., Studio City, CA 91604 | 2015-07-01 |
1306277298 | Dr. Ike, Inc. | Pharmacy | 11738 Ventura Blvd., Studio City, CA 91604 | 2013-12-03 |
1770916769 | Jon-paul Gamboa | Behavioral Analyst | 121754 Ventura Blvd., Ste D, Studio City, CA 91604 | 2013-08-14 |
1518308568 | Alexis Anne Prescott | Counselor | 11712 Moorpark St Ste 211, Studio City, CA 91604 | 2013-07-07 |
1154764157 | Peter Joseph Vogelsang | Internal Medicine | 11623 Dona Alicia Place, Studio City, CA 91604 | 2013-04-10 |
Find all providers in zip 91604 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114442241 | Boulevard Therapy | Psychologist | 12456 Ventura Blvd Ste 1, Studio City, CA 91604-2484 | 2017-08-09 |
1639534431 | Karen R Lang | Psychologist | 12316 Landale St, Studio City, CA 91604-1218 | 2015-12-21 |
1023483849 | Judith Elaine Gerson | Psychologist | 11824 Moorpark St, Unit G, Studio City, CA 91604-2194 | 2015-12-04 |
1861737876 | Perri W Johnson, Psychology Inc | Psychologist | 11331 Ventura Blvd, 1d, Studio City, CA 91604-3147 | 2012-12-02 |
1609121201 | Lyre Caruz Fribourg | Psychologist | 4370 Tujunga Ave Ste 150, Studio City, CA 91604-2753 | 2012-07-19 |
1356638183 | Rebecca Roy | Psychologist | 12001 Ventura Pl, Suite 203, Studio City, CA 91604-2626 | 2011-06-30 |
1851540702 | Garret Benjamin Wyner | Psychologist | 12944 Greenleaf St, Studio City, CA 91604-2224 | 2008-09-16 |
1184885279 | Jeane Haining | Psychologist | 11712 Moorpark St Ste 205b, Studio City, CA 91604-2158 | 2008-06-20 |
1609900125 | Robert W. Moffie | Psychologist | 13100 Valleyheart Dr, 301, Studio City, CA 91604-1959 | 2007-03-15 |
1003913732 | Mary M. Fox | Psychologist | 3811 Mound View Ave, Studio City, CA 91604-3631 | 2006-09-17 |
Find all providers in STUDIO CITY |
City | STUDIO CITY |
Zip Code | 91604 |
Please comment or provide details below to improve the information on DR. PAMELA NICELY.
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.