DR. SUSAN GARDIN (NPI# 1821345034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821345034 |
| Entity Type | Individual |
| Full Name | DR. SUSAN GARDIN |
| Credential | DR.PH, LMHC, LPCC |
| Practice Address |
2279 Weybridge Ln Los Angeles CA 90077-1343 |
| Practice Telephone | 3479071961 |
| Mailing Telephone | 3479071961 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
006234 | NY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCC-4062 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 W 13th St, New York, NY 100117940 | 3479071961 |
| Street Address |
2279 WEYBRIDGE LN |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90077-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366909368 | Karma Cbas Inc | Clinic/Center | 1171 Chantilly Rd, Bel Air, CA 90077 | 2019-02-26 |
| 1457715179 | Beverly Glen Congregate, Inc. | Skilled Nursing Facility | 1200 North Beverly Glen Blvd., Bel Air, CA 90077 | 2016-04-08 |
| 1356542062 | Faranak Daravi Nosratian | Dentist | 1234 Bel Air Road, Los Angeles, CA 90077 | 2007-05-30 |
| 1386774131 | Joanna B Rosoff | Psychologist | 2934 1/2 Beverly Glen Circle #179, Bel Air, CA 90077 | 2007-03-07 |
| 1457384521 | Helen Horn Fincher | Dermatology | 100 Ucla Medical Plaza, Suite 590, Los Angeles, CA 90077 | 2006-07-09 |
| 1487111480 | Shahin Abrishamchian | Clinic/Center | 1171 Chantilly Rd, Bel Air, CA 90077-1300 | 2019-02-26 |
| 1356601322 | Chrissy Y Hsieh | Family Medicine | 2431 Buckingham Ln, Los Angeles, CA 90077-1335 | 2012-05-23 |
| 1831664820 | Foot and Ankle Care Center, Inc. | Podiatrist | 15531 Aqua Verde Dr, Los Angeles, CA 90077-1503 | 2018-10-05 |
| 1407246408 | Richard Guest Md, A Professional Medical Corporation | Surgery | 15478 Duomo Via St, Los Angeles, CA 90077-1515 | 2015-01-28 |
| 1154446409 | Roslyn Menitoff | Social Worker | 15131 Mulholland Dr, Los Angeles, CA 90077-1618 | 2007-03-19 |
| Find all providers in zip 90077 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061624 | Elysian Psychology Inc | Counselor | 10250 Constellation Blvd, Los Angeles, CA 90067-6200 | 2020-04-15 |
| 1912530528 | Nicole Yvette Sheppard | Counselor | 1135 S Beverly Dr Ste A, Los Angeles, CA 90035-1193 | 2020-02-21 |
| 1376190645 | Avraham Dovid Meshchaninov | Counselor | 8881 W Pico Blvd Ste 1, Los Angeles, CA 90035-3336 | 2019-08-21 |
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1730688391 | Total Care Management Services, Inc | Counselor | 10801 National Blvd Ste 253, Los Angeles, CA 90064-4178 | 2018-02-08 |
| 1255846200 | Jill Caller Kapenstein | Counselor | 6221 Wilshire Blvd Ste 518, Los Angeles, CA 90048-5223 | 2017-12-12 |
| 1982089959 | Judith Rinda Crane | Counselor | 2959 S Sepulveda Blvd, Los Angeles, CA 90064-3912 | 2015-07-20 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1851793483 | Leslie Rith-najarian | Counselor | John Wooden Center West, 221 Westwood Plaza, Counseling and Psychological Services, Los Angeles, CA 90095 | 2014-09-26 |
| 1902206394 | David Richardson IIi | Counselor | 2205 S Bentley Ave, Apt 102, Los Angeles, CA 90064-1978 | 2014-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90077 |
Please comment or provide details below to improve the information on DR. SUSAN GARDIN.
| 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.