WAVEMIND INC A PSYCHOLOGY CORPORATION NPI 1710579826

NPI Information

NPI: 1710579826
Provider Name: WAVEMIND INC, A PSYCHOLOGY CORPORATION
Classification: Psychologist - 103TB0200X
Specialization: Cognitive & Behavioral
Entity Type: Organization
Doing Business As: WAVEMIND CLINIC
Address: 1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA
ZIP 90025
Phone: (914) 275-5578

Map and Directions

Get Directions

NPI Details

WAVEMIND INC, A PSYCHOLOGY CORPORATION is a cognitive and behavioral psychologist in Los Angeles, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. WAVEMIND INC, A PSYCHOLOGY CORPORATION NPI is 1710579826. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wavemind Clinic.

The provider's business location address is:

1849 SAWTELLE BLVD STE 610
LOS ANGELES, CA
ZIP 90025-013
Phone: (914) 275-5578

The provider's authorized official is Danielle Cornacchio .
The authorized official title is Licensed Psychologist, Owner and has the following contact phone number (914) 275-5578.

The enumeration date for this NPI number is 2/9/2021 and was last updated on 5/19/2023.

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	License Number	License State	Primary
1	103TC2200X	Psychologist	Clinical Child & Adolescent			No
2	103TB0200X	Psychologist	Cognitive & Behavioral			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1528093820	OTHER	CALIFORNIA	DR. RONNIE LINDSEY BERGMAN
2	1396486023	OTHER	CALIFORNIA	DR. ANNA ALKOZEI

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI