DR. MANTSHA BOIKANYO (NPI# 1043497415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043497415 |
| Entity Type | Individual |
| Full Name | DR. MANTSHA BOIKANYO |
| Other Name | MANTSHA BOIKANYO |
| Credential | PSYD |
| Practice Address |
2001 S Barrington Ave Ste 314 Los Angeles CA 90025-5379 |
| Mailing Address |
3200 Motor Ave Los Angeles CA 90034-3710 |
| Practice Telephone | 4247817650 |
| Mailing Telephone | 3108361223 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2019-09-12 |
| 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 | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY29845 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2716 Wilshire Blvd, Santa Monica, CA 904034706 | 4247817650 |
| Street Address |
2001 S BARRINGTON AVE STE 314 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-5379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992928733 | Lawrence Gilbert Lehmann | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2007-04-10 |
| 1164994869 | Stefanie Christine Funke | Marriage & Family Therapist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2018-12-19 |
| 1376048843 | Summer L Angevin | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2018-03-27 |
| 1205337524 | Shawn Tovar | Student in an Organized Health Care Education/Training Program | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2018-02-22 |
| 1598280620 | Patricia Zadeh | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2017-08-09 |
| 1255619656 | Antonia M Hickey | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2011-08-02 |
| 1669706586 | Ariel Fawn Ogilvie Mcsweeney | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2009-09-24 |
| 1447490958 | Eleni Bagourdi | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| 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 | 90025 |
Please comment or provide details below to improve the information on DR. MANTSHA BOIKANYO.
| 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.