TOPANGA ROSCOE CORPORATION (NPI# 1033596291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033596291 |
| Entity Type | Organization |
| Organization Name | TOPANGA ROSCOE CORPORATION |
| Other Organization Name | ACT HEALTH AND WELLNESS CLINIC |
| Practice Address |
9003 Reseda Blvd. Suite 100 Northridge CA 91324-6513 |
| Practice Telephone | 8188848100 |
| Practice Fax Number | 8188847808 |
| Mailing Telephone | 8188848100 |
| Mailing Fax Number | 8188847808 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | MR. CARY BUCHMAN (PRESIDENT) |
| Authorized Official Telephone | 8188848100 |
| Is Organization Subpart | Y |
| Parent Organization Name | TOPANGA ROSCOE CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ACT Health & Wellness Outpatient Clinic | Doing Business As Name - Organization |
| ACT Health and Wellness Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831314251 | Topanga Roscoe Corporation | Community Based Residential Treatment Facility, Mental Illness | 22115 Roscoe Blvd, Canoga Park, CA 91304-3839 | 2007-04-13 |
| Street Address |
9003 RESEDA BLVD. SUITE 100 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689805202 | Beth L. Segel | Psychologist | 9010 Reseda Boulevard, Suite 106, Northridge, CA 91324-5854 | 2009-07-30 |
| 1124272695 | Sherri A.c. Tanferani | Psychologist | 8860 Corbin Ave, #175, Northridge, CA 91324-3309 | 2008-11-11 |
| 1558523654 | Dinora Guzman | Psychologist | 9650 Zelzah Ave., Northridge, CA 91325 | 2008-06-30 |
| 1639382815 | Beverly Carol Rivera | Psychologist | 18917 Nordhoff St Ste 18, Northridge, CA 91324 | 2007-05-07 |
| 1295871663 | Psychological Treatment Services Inc | Psychologist | 19543 Mayall St, Northridge, CA 91324-1015 | 2007-01-30 |
| 1417030800 | Elaine Costanzo Alvarez | Psychologist | 18546 Roscoe Blvd Ste 210, Northridge, CA 91324-5454 | 2006-10-23 |
| 1366532822 | Michael Charles Knapp | Psychologist | 8535 Oak Park Ave, Northridge, CA 91325-3421 | 2006-10-13 |
| 1750483467 | Mark Joseph Sergi | Psychologist | 9535 Reseda Blvd Ste 112, Northridge, CA 91324-6022 | 2006-09-02 |
| 1649226788 | Lawrence Martin | Psychologist | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2006-05-26 |
| 1659361731 | Charles Brent Wasserman Sr. | Psychologist | 19542 Mayall St, Northridge, CA 91324-1014 | 2005-10-28 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
Please comment or provide details below to improve the information on TOPANGA ROSCOE CORPORATION.
| 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.