SOKER PSYCHOTHERAPY AND LICENSED CLINICAL SOCIAL WORK SERVICES, INC. (NPI# 1073965497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073965497 |
| Entity Type | Organization |
| Organization Name | SOKER PSYCHOTHERAPY AND LICENSED CLINICAL SOCIAL WORK SERVICES, INC. |
| Practice Address |
11650 Riverside Dr Suite 10 North Hollywood CA 91602-1093 |
| Practice Telephone | 3237023936 |
| Practice Fax Number | 8444626906 |
| Mailing Telephone | 3237023936 |
| Mailing Fax Number | 8444626906 |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-07-09 |
| Authorized Official Name | DR. SOPHIA KONG (PRESIDENT) |
| Authorized Official Telephone | 3237023936 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCS29479 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25298 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11650 RIVERSIDE DR SUITE 10 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548281371 | Erin T. Childs | Marriage & Family Therapist | 11650 Riverside Dr, Suite 7, North Hollywood, CA 91602-1093 | 2006-07-21 |
| 1326592205 | Leigh Lustig | Psychologist | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-08-09 |
| 1841643392 | Aline Manouguian | Marriage & Family Therapist | 11650 Riverside Dr, 10, North Hollywood, CA 91602-1093 | 2016-07-20 |
| 1447655188 | Mohsen Safaie Pt Inc. | Specialist | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-23 |
| 1962805242 | Premier Pain Management, Inc. | Clinic/Center | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-01 |
| 1023248481 | Sapphire Medical | Radiology | 11650 Riverside Dr, Ste 6, North Hollywood, CA 91602-1093 | 2009-07-20 |
| 1336386630 | Professional Pharmacy Services, Inc. | Home Infusion | 11650 Riverside Dr, #6, North Hollywood, CA 91602-1093 | 2009-01-08 |
| 1962659151 | Benjamin Broukhim M.d. A Medical Corp | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2008-08-19 |
| 1548270028 | Studio City Orthopedic & Medical Group | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871074997 | Grace Chang | Psychologist | 10653 Riverside Dr, North Hollywood, CA 91602-2341 | 2018-08-27 |
| 1083817951 | David Giella | Psychologist | 10907 Magnolia Blvd, Suite 414, North Hollywood, CA 91601-3904 | 2007-06-07 |
| 1821138173 | Janie S Strasner | Psychologist | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2007-02-07 |
| 1629151527 | Deborah A Hoffman | Psychologist | 6736 Laurel Canyon Blvd, Suite 200, North Hollywood, CA 91606-1538 | 2006-10-23 |
| 1326592205 | Leigh Lustig | Psychologist | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-08-09 |
| 1487884474 | Azine Sara Neiman | Psychologist | 6736 Laurel Canyon Blvd, Suite 200, North Hollywood, CA 91606-1538 | 2009-07-23 |
| 1104950286 | Debra Melinda Sharon | Psychologist | 6455 Coldwater Canyon Ave, North Hollywood, CA 91606-1112 | 2007-03-14 |
| 1114067881 | Gilbert Morquecho | Psychologist | 10526 Dubnoff Way, North Hollywood, CA 91606-3921 | 2007-02-08 |
| 1922052380 | John Arthur Ayvazian | Psychologist | 12520 Magnolia Blvd, # 300, North Hollywood, CA 91607-2336 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on SOKER PSYCHOTHERAPY AND LICENSED CLINICAL SOCIAL WORK SERVICES, INC..
| 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.