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COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION NPI 1245394121


NPI Information

NPI: 1245394121
Provider Name: COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
1321 9TH ST
SANTA MONICA, CA
ZIP 90401
Phone: (310) 477-6000
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COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION is a psychologist in Santa Monica, CA. The provider is 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. COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION NPI is 1245394121. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1321 9TH ST
SANTA MONICA, CA
ZIP 90401-803
Phone: (310) 477-6000
Fax: (310) 477-0327

The provider's authorized official is Reuben Vaisman-tzachor .
The authorized official title is President - Owner and has the following contact phone number (310) 477-6000.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 12/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY 15091CALIFORNIANo
2103TA0400XPsychologistAddiction (Substance Use Disorder)PSY 15091CALIFORNIANo
3103TA0700XPsychologistAdult Development & AgingPSY 15091CALIFORNIANo
4103TB0200XPsychologistCognitive & BehavioralPSY 15091CALIFORNIANo
5103TC0700XPsychologistClinicalPSY 15091CALIFORNIANo
6103TC1900XPsychologistCounselingPSY 15091CALIFORNIANo
7103TC2200XPsychologistClinical Child & AdolescentPSY 15091CALIFORNIANo
8103TE1100XPsychologistExercise & SportsPSY 15091CALIFORNIANo
9103TF0000XPsychologistFamilyPSY 15091CALIFORNIANo
10103TF0200XPsychologistForensicPSY 15091CALIFORNIANo
11103TP2701XPsychologistGroup PsychotherapyPSY 15091CALIFORNIANo
12103T00000XPsychologistPSY 15091CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIABLUE CROSS ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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