PAIN PSYCHOLOGY CENTER: A LICENSED CLINICAL SOCIAL WORKER PC (NPI# 1912390907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912390907 |
| Entity Type | Organization |
| Organization Name | PAIN PSYCHOLOGY CENTER: A LICENSED CLINICAL SOCIAL WORKER PC |
| Other Organization Name | PAIN PSYCHOLOGY CENTER |
| Practice Address |
9777 Wilshire Blvd Ste 1007 Beverly Hills CA 90212-1901 |
| Practice Telephone | 3108532049 |
| Mailing Telephone | 3108532049 |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-03-15 |
| Authorized Official Name | MR. ALAN TODD GORDON (PRESIDENT) |
| Authorized Official Telephone | 3108532049 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Pain Psychology Center | Doing Business As Name - Organization |
| Street Address |
9777 WILSHIRE BLVD STE 1007 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626090 | Vanessa M Alvarado | Social Worker | 9777 Wilshire Blvd Ste 1007, Beverly Hills, CA 90212-1901 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| 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 |
|---|---|---|---|---|
| 1427608967 | Alive Education Management and Services | Community/Behavioral Health | 152 S Lasky Dr Ste 208, Beverly Hills, CA 90212-1716 | 2019-09-17 |
| 1215584461 | Her Healing Community | Community/Behavioral Health | 451 N Canon Dr Ste 1, Beverly Hills, CA 90210-4890 | 2019-08-22 |
| 1073168142 | Evergreen Fund | Community/Behavioral Health | 329 N Wetherly Dr Ste 207, Beverly Hills, CA 90211-1675 | 2019-08-06 |
| 1316480031 | Jarc | Community/Behavioral Health | 31285 Downing Pl, Beverly Hills, MI 48025-5236 | 2016-11-29 |
| 1346783032 | Jarc | Community/Behavioral Health | 30339 Buttonwood Ct, Beverly Hills, MI 48025-5000 | 2016-11-29 |
| 1174832364 | Elham Shayan | Community/Behavioral Health | 213 N Palm Dr, Beverly Hills, CA 90210-4917 | 2010-10-05 |
| 1932645363 | Business Betterlife | Community/Behavioral Health | 9615 Brighton Way, Suite 422, Beverly Hills, CA 90210-5131 | 2017-01-09 |
| 1316355688 | The Radiance of Hope Counseling Center | Community/Behavioral Health | 9107 Wilshire Blvd Ste 200, Beverly Hills, CA 90210-5522 | 2014-07-30 |
| 1407277098 | Craig April | Community/Behavioral Health | 321 S Beverly Dr, Suite Z, Beverly Hills, CA 90212-4303 | 2013-12-26 |
| 1588004782 | Gerald Betzen Mft, Inc. | Community/Behavioral Health | 337 S Beverly Dr, Ste. 207, Beverly Hills, CA 90212-4315 | 2013-07-02 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on PAIN PSYCHOLOGY CENTER: A LICENSED CLINICAL SOCIAL WORKER PC.
| 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.