A BEAUTIFUL LIFE PSYCHOLOGY GROUP, INC. (NPI# 1144367954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144367954 |
| Entity Type | Organization |
| Organization Name | A BEAUTIFUL LIFE PSYCHOLOGY GROUP, INC. |
| Other Organization Name | THE BELLA VITA |
| Practice Address |
766 Colorado Blvd Los Angeles CA 90041-1702 |
| Practice Telephone | 3232550400 |
| Practice Fax Number | 3232550177 |
| Mailing Telephone | 3232550400 |
| Mailing Fax Number | 3232550177 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-05-06 |
| Authorized Official Name | MRS. ESTHER A COTTON (BILLING MANAGER) |
| Authorized Official Telephone | 3232550400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY12406 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Bella Vita | Doing Business As Name - Organization |
| Street Address |
766 COLORADO BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982137063 | Shireen Farhadian | Dietitian, Registered | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2017-04-06 |
| 1043765639 | The Bella Verita | Assisted Living Facility | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2016-08-24 |
| 1144619131 | Jaclyn Fallon Shapin | Marriage & Family Therapist | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2015-01-14 |
| 1891122404 | Meghrig Derbedrossian | Marriage & Family Therapist | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2013-09-27 |
| 1447682752 | Farnaz Rahmani | Marriage & Family Therapist | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2013-08-08 |
| 1447500095 | The Bella Passione | Psychiatric Residential Treatment Facility | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2012-09-11 |
| 1447509450 | Adriana Maria Diaz | Social Worker | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2012-09-05 |
| 1134496482 | The Bella Vita, A Beautiful Life Psychology Group | Marriage & Family Therapist | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2011-11-30 |
| 1336438498 | Cynthia S Mallatt-grow | Marriage & Family Therapist | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2011-03-29 |
| 1336386507 | Cherish Christine Knoll | Psychologist | 766 Colorado Blvd, Los Angeles, CA 90041-1702 | 2009-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| 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 | 90041 |
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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.