DR. MICHAEL LEWIS BERTOLUCCI (NPI# 1134242431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134242431 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LEWIS BERTOLUCCI |
| Credential | PH.D. |
| Practice Address |
1744 Crisler Way Los Angeles CA 90069-1501 |
| Practice Telephone | 3236508381 |
| Mailing Telephone | 3236508381 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC22064 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1744 CRISLER WAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90069-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649393992 | David Joel Epstein | Psychologist | 1744 Crisler Way, Los Angeles, CA 90069-1501 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620188 | Schewitz Psychological Services Inc | Counselor | 722 North Orlando Avenue, #109, West Hollywood, CA 90069 | 2020-02-05 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1922527894 | Hansol | Acupuncturist | 9210 Sunset Blvd #212, Los Angeles, CA 90069 | 2017-09-12 |
| 1982121026 | Karen A Robinson | Dental Hygienist | 1264 N. Kings Rd, #14, West Hollywood, CA 90069 | 2017-08-29 |
| 1851844237 | Anna Mcmaster | Physical Therapist | 1201 Larrabee St Apt 205, West Hollywood, CA 90069 | 2016-08-02 |
| 1730565136 | Brittany Giraud | Nurse Practitioner | 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 | 2015-08-07 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1609201417 | Jaclyn Jean Tolentino | Family Medicine | 8550 Santa Monica Blvd, 2nd Floor, West Hollywood, CA 90069 | 2013-09-11 |
| 1992144489 | Virginia Denise Hall | Nurse Practitioner | 8570 W Sunset Blvd Ste 1.5, West Hollywood, CA 90069 | 2013-06-18 |
| 1518305473 | Amedco California Inc. | Optometrist | 8624 Sunset Blvd., The Eye Gallery - La, West Hollywood, CA 90069 | 2013-06-12 |
| Find all providers in zip 90069 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90069 |
Please comment or provide details below to improve the information on DR. MICHAEL LEWIS BERTOLUCCI.
| 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.