DEBORAH INNES-GOMBERG (NPI# 1962053470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962053470 |
| Entity Type | Individual |
| Full Name | DEBORAH INNES-GOMBERG |
| Other Name | DEBORAH INNES |
| Practice Address |
550 S Vermont Ave Fl 3 Los Angeles CA 90020-1912 |
| Mailing Address |
2211 Wanderer Dr San Pedro CA 90732-4128 |
| Practice Telephone | 2137382756 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
550 S VERMONT AVE FL 3 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174619399 | Kathryn M. Stroupe | Social Worker | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2006-10-05 |
| 1407216419 | Stephanie Maruska | Counselor | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2016-03-03 |
| 1871972315 | Shellee Pollard | Social Worker | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2015-05-28 |
| 1225384738 | Rosalie Finer | Psychologist | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2012-08-02 |
| 1912211889 | Irma E Martinez | Community Health Worker | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2010-08-03 |
| 1790097673 | Nerissa Lynn Abriam | Social Worker | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2010-07-08 |
| 1720264278 | Julie Jones-romain | Social Worker | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2008-01-15 |
| 1578682167 | Valeria Lletget | Social Worker | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2007-03-28 |
| 1396863262 | Sarah Marie Savage | Psychologist | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2007-03-27 |
| 1104950757 | Bessie A. Buenrostro | Counselor | 550 S Vermont Ave Fl 3, Los Angeles, CA 90020-1912 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698400 | Richard Romanoff | Psychologist | 10780 Santa Monica Blvd Ste 460, Los Angeles, CA 90025-7635 | 2020-08-06 |
| 1003425869 | Reynaldo Vargas Jr. | Psychologist | 8811 Mary Ave, Los Angeles, CA 90002-1244 | 2020-07-28 |
| 1700404647 | Joshua Lawrence Mirmelli | Psychologist | 11340 W Olympic Blvd Ste 305, Los Angeles, CA 90064-1630 | 2020-07-08 |
| 1740820240 | Aaron Efron Berger | Psychologist | 11980 San Vicente Blvd Ste 710, Los Angeles, CA 90049-6605 | 2020-01-13 |
| 1538715743 | Nicole Hayes | Psychologist | Ucla John Wooden West #9511556, Los Angeles, CA 90095-0001 | 2019-08-13 |
| 1992360853 | Barry Bernfeld | Psychologist | 10530 Santa Monica Blvd, Los Angeles, CA 90025-4951 | 2019-05-07 |
| 1700362449 | Noah Laracy | Psychologist | 1810 S Beverly Drive, Suite 401, Los Angeles, CA 90035-1156 | 2018-07-16 |
| 1386139087 | Acacia Psychological Corporation | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2018-06-25 |
| 1164911418 | William James Coburn | Psychologist | 12011 San Vicente Blvd Ste 300, Los Angeles, CA 90049-4945 | 2018-05-02 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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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.