SANTA MONICA PSYCHOTHERAPY GROUP NPI 1902024086

NPI Information

NPI: 1902024086
Provider Name: SANTA MONICA PSYCHOTHERAPY GROUP
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1460 7TH ST
SUITE 201
SANTA MONICA, CA
ZIP 90401
Phone: (310) 451-8180
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SANTA MONICA PSYCHOTHERAPY GROUP is an addiction (substance use disorder) counselor in Santa Monica, CA. SANTA MONICA PSYCHOTHERAPY GROUP NPI is 1902024086. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1460 7TH ST
SUITE 201
SANTA MONICA, CA
ZIP 90401-629
Phone: (310) 451-8180
Fax: (310) 395-4146

The provider's authorized official is Gerardo Horischnik .
The authorized official title is Director and has the following contact phone number (310) 451-8180.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes
2	101YM0800X	Counselor	Mental Health	X
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	X
4	103TA0700X	Psychologist	Adult Development & Aging	X
5	103TB0200X	Psychologist	Cognitive & Behavioral	X
6	103TC0700X	Psychologist	Clinical	X
7	103TC1900X	Psychologist	Counseling	X
8	103TC2200X	Psychologist	Clinical Child & Adolescent	X
9	1041C0700X	Social Worker	Clinical	X
10	106H00000X	Marriage & Family Therapist		X

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: 11/14/2023

NPI Synchronization or Removal

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