JANICE STIMSON (NPI# 1083824254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083824254 |
| Entity Type | Individual |
| Full Name | JANICE STIMSON |
| Credential | PSY.D., R.A.S. |
| Practice Address |
12304 Santa Monica Blvd Suite 200 West Los Angeles CA 90025-2551 |
| Mailing Address |
12304 Santa Monica Blvd Ste 215a West Los Angeles CA 90025-2587 |
| Practice Telephone | 3102074322 |
| Practice Fax Number | 3102076511 |
| Mailing Telephone | 3102074322 |
| Mailing Fax Number | 3102076511 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
S0504101451 | CA | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
CA | Behavioral Health & Social Service Providers |
| Street Address |
12304 SANTA MONICA BLVD SUITE 200 |
| City | WEST LOS ANGELES |
| State | CA |
| Zip Code | 90025-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851501035 | Jerry Griffee | Counselor | 12304 Santa Monica Blvd, Suite 200, West Los Angeles, CA 90025-2551 | 2007-05-23 |
| 1932315181 | Jeanne L. Obert | Marriage & Family Therapist | 12304 Santa Monica Blvd, #100, West Los Angeles, CA 90025-2551 | 2007-05-15 |
| 1679604326 | Robert Boress | Marriage & Family Therapist | 12304 Santa Monica Blvd, Suite 213, West Los Angeles, CA 90025-2551 | 2007-03-07 |
| 1386797876 | Jane Marlis | Speech-Language Pathologist | 12304 Santa Monica Blvd, Suite 216, West Los Angeles, CA 90025-2551 | 2007-01-19 |
| 1770662694 | Malcolm Miller | Psychologist | 12304 Santa Monica Blvd, Suite 300, West Los Angeles, CA 90025-2551 | 2006-11-02 |
| 1336252949 | Bijan Nikakhtar | Internal Medicine | 12304 Santa Monica Blvd, #349, West Los Angeles, CA 90024 | 2006-08-16 |
| 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 | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on JANICE STIMSON.
| 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.