MIND HEALTH INSTITUTE SANTA MONICA (NPI# 1215478441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215478441 |
| Entity Type | Organization |
| Organization Name | MIND HEALTH INSTITUTE SANTA MONICA |
| Practice Address |
2730 Wilshire Blvd #507 Santa Monica CA 90403-4743 |
| Practice Telephone | 3109889393 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | DR. RYAN DAVIS (CO-FOUNDER) |
| Authorized Official Telephone | 3109889393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A108035 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2730 WILSHIRE BLVD #507 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814706 | Michael David Greenwald | Psychologist | 2730 Wilshire Blvd, Suite 650, Santa Monica, CA 90403-4743 | 2005-10-09 |
| 1558914994 | Allison Nurse-hofer | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-07-23 |
| 1770056434 | Elizabeth A Lauber | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-01-05 |
| 1770066193 | Stephanie Sarah Fogelson | Physical Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2018-09-11 |
| 1992230718 | Skin By Lovely | Clinic/Center | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-04-30 |
| 1679019715 | Kristy Charlier | Registered Nurse | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-01-12 |
| 1982155198 | Jake Edward Goldman | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 630, Santa Monica, CA 90403-4743 | 2016-10-23 |
| 1881141026 | Molly Schaffer, Marriage & Family Therapist, PC | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 250, Santa Monica, CA 90403-4743 | 2016-09-06 |
| 1790238418 | Matrix Physical Therapy and Wellness | Clinic/Center | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4743 | 2016-07-28 |
| 1285084111 | Soroya Bacchus Md | Psychiatry & Neurology | 2730 Wilshire Blvd, Suite 660, Santa Monica, CA 90403-4743 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417399742 | Hamid Reza Amanatkar | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 525, Santa Monica, CA 90403 | 2013-07-29 |
| 1134125180 | Martin S Wasserman | Psychiatry & Neurology | 510 E Channel Rd, Santa Monica, CA 90402-1342 | 2005-06-23 |
| 1245609627 | Dr. Neevon C. Esmaili, Md, A Professional Corporation | Psychiatry & Neurology | 2730 Wilshire Blvd, Suite 650, Santa Monica, CA 90403-4743 | 2015-09-16 |
| 1902152242 | Ann P Verma | Psychiatry & Neurology | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2012-07-24 |
| 1083930218 | Lana Mae Benedek | Psychiatry & Neurology | 900 Wilshire Blvd, Suite 314, Santa Monica, CA 90401-1872 | 2010-04-13 |
| 1720302458 | Aruna Devi Kodali | Psychiatry & Neurology | 2001 Santa Monica Blvd Ste 860w, Santa Monica, CA 90404-2189 | 2010-03-24 |
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| 1710506308 | Nisha Warikoo Md Inc | Psychiatry & Neurology | 19200 Von Karman Ave, Ste 623, Irvine, CA 92612-8553 | 2020-04-13 |
| 1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
| 1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| City | SANTA MONICA |
| Zip Code | 90403 |
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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.