DR. LEAH ELLENBERG (NPI# 1932312931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932312931 |
| Entity Type | Individual |
| Full Name | DR. LEAH ELLENBERG |
| Credential | PH.D. |
| Practice Address |
9401 Wilshire Blvd Suite 730 Beverly Hills CA 90212-2928 |
| Practice Telephone | 3102732701 |
| Practice Fax Number | 3102731127 |
| Mailing Telephone | 3102732701 |
| Mailing Fax Number | 3102731127 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY5970 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891146239 | Leah Rachel Ellenberg | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2016-06-27 |
| Street Address |
9401 WILSHIRE BLVD SUITE 730 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578670618 | Ronald S Reiter | Psychologist | 9401 Wilshire Blvd, Ste 730, Beverly Hills, CA 90212-2920 | 2006-08-24 |
| 1871049791 | Facial Nerve Inc | Plastic Surgery | 9401 Wilshire Blvd, Suite 650, Beverly Hills, CA 90212-2928 | 2016-08-31 |
| 1760841134 | Center for Multispecialty Aesthetic & Reconstructive Surgery | Surgery | 9401 Wilshire Blvd, 650, Beverly Hills, CA 90212-2913 | 2016-02-15 |
| 1740657279 | Ts Consulting Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9401 Wilshire Blvd, Suite 515, Beverly Hills, CA 90212-2928 | 2015-09-01 |
| 1104118280 | Melissa Brymer | Psychologist | 9401 Wilshire Blvd, Suite 730, Beverly Hills, CA 90212-2928 | 2011-05-09 |
| 1902109358 | Christopher I Zoumalan, Md, Inc | Ophthalmology | 9401 Wilshire Blvd, Suite 1105, Beverly Hills, CA 90212-2928 | 2010-12-07 |
| 1518287804 | Leah Ellenberg, Ph.d. and Associates | Clinical Neuropsychologist | 9401 Wilshire Blvd, Suite 730, Beverly Hills, CA 90212-2928 | 2010-06-09 |
| 1114244084 | Jonathan Ari Cabin | Otolaryngology | 9401 Wilshire Blvd, Suite 650, Beverly Hills, CA 90212-2928 | 2010-04-30 |
| 1174780449 | Beverly Ann Woss | Dentist | 9401 Wilshire Blvd, 1140, Beverly Hills, CA 90212-2928 | 2008-05-22 |
| 1972777910 | Surgical Arts of Beverly Hills, Inc. | Plastic Surgery | 9401 Wilshire Blvd, Suite 1105, Beverly Hills, CA 90212-2928 | 2008-04-22 |
| Find all providers in the same location | ||||
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982987723 | Alexandrea Park | Clinical Neuropsychologist | 9107 Wilshire Blvd Ste 475, Beverly Hills, CA 90210-5559 | 2011-09-27 |
| 1033235528 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Clinical Neuropsychologist | 360 N Bedford Dr Ste 414, Beverly Hills, CA 90210-5122 | 2007-03-22 |
| 1376660829 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Clinical Neuropsychologist | 9735 Wilshire Blvd Ste 323, Beverly Hills, CA 90212-2108 | 2007-03-22 |
| 1508908500 | Veronica I Olvera | Clinical Neuropsychologist | 226 S Beverly Dr, Suite 225, Beverly Hills, CA 90212-3817 | 2007-02-13 |
| 1861458457 | Valerie R Vonraffay | Clinical Neuropsychologist | 450 N Bedford Drive, Suite 312, Beverly Hills, CA 90210 | 2006-04-24 |
| 1699129502 | Diane Lucie Scheiner | Clinical Neuropsychologist | 9777 Wilshire Blvd, Suite 1007, Beverly Hills, CA 90212-1910 | 2016-04-17 |
| 1518287804 | Leah Ellenberg, Ph.d. and Associates | Clinical Neuropsychologist | 9401 Wilshire Blvd, Suite 730, Beverly Hills, CA 90212-2928 | 2010-06-09 |
| 1356570360 | Joni Fay Pastor | Clinical Neuropsychologist | 9171 Wilshire Blvd, Penthouse Suite 1, Beverly Hills, CA 90210-5530 | 2009-07-11 |
| 1922205566 | Deborah S. Miora | Clinical Neuropsychologist | 435 N Roxbury Dr, Suite 406, Beverly Hills, CA 90210-5027 | 2007-06-28 |
| 1568413250 | William Wade Deardorff | Clinical Neuropsychologist | 120 S Spalding Dr, Suite 400, Beverly Hills, CA 90212-1800 | 2006-05-15 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on DR. LEAH ELLENBERG.
| 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.