DR. STELLA PANOS (NPI# 1104252352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104252352 |
| Entity Type | Individual |
| Full Name | DR. STELLA PANOS |
| Credential | PH.D. |
| Practice Address |
1301 20th St Ste 150 Santa Monica CA 90404-2050 |
| Mailing Address |
11301 Wilshire Blvd Bldg 256 Los Angeles CA 90073-1003 |
| Practice Telephone | 3105827450 |
| Practice Fax Number | 3105827495 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25723 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1301 20TH ST STE 150 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107012 | Verna Ruth Porter | Psychiatry & Neurology | 1301 20th St Ste 150, Santa Monica, CA 90404 | 2006-07-17 |
| 1225549082 | Lisa S. Park | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2017-10-19 |
| 1932623246 | Giselle Tamula | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2017-07-28 |
| 1225465552 | Sheila Luisa Moore | Social Worker | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2013-10-01 |
| 1750714408 | Mihae Kim | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2013-08-16 |
| 1003129925 | Claudia L Wong | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2010-07-20 |
| 1205042470 | Scott Kaiser | Family Medicine | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2007-05-15 |
| 1902923410 | David Arthur Merrill | Psychiatry & Neurology | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2007-03-22 |
| 1790812162 | Melita Talene Petrossian | Psychiatry & Neurology | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2007-02-27 |
| 1669495149 | William Glenton Buxton | Psychiatry & Neurology | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1851651400 | Linda D. Nelson, Ph.d., Abpn, Inc. | Clinical Neuropsychologist | 1137 2nd St Ste 101, Santa Monica, CA 90403-5068 | 2012-05-16 |
| 1245394121 | Counseling Center of Santa Monica - A Psychological Corporation | Clinical Neuropsychologist | 1321 9th St, Santa Monica, CA 90401-1803 | 2006-12-21 |
| 1265596134 | Reuben Vaisman-tzachor | Clinical Neuropsychologist | 3111 Broadway D, Santa Monica, CA 90404-4278 | 2006-12-21 |
| 1316025240 | John Charles Friel | Clinical Neuropsychologist | 401 San Vicente Blvd, Suite C, Santa Monica, CA 90402-1744 | 2006-11-01 |
| 1851513592 | Lawrence Jay Hermann | Clinical Neuropsychologist | 2665 30th St, Suite 208, Santa Monica, CA 90405-3063 | 2007-05-03 |
| 1962519835 | Louis F. Delia Iv | Clinical Neuropsychologist | 1137 2nd St, #106, Santa Monica, CA 90403-5011 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| 1447896253 | Kristen Wortman Psychology, P.C. | Clinical Neuropsychologist | 3738 Mt Diablo Blvd Ste 306, Lafayette, CA 94549-3600 | 2019-11-27 |
| 1831733195 | Palm Springs Neuropsychology | Clinical Neuropsychologist | 650 E Tahquitz Canyon Way Ste 2, Palm Springs, CA 92262-6714 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| 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.