DR. ELIZABETH CHULACK


Address: 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316
Phone: 8183925343

DR. ELIZABETH CHULACK (NPI# 1306329537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306329537
Entity Type Individual
Full Name DR. ELIZABETH CHULACK
Credential PSYD
Practice Address 1101 N Pacific Ave Ste 204
Glendale
CA 91202-4316
Mailing Address Po Box 4973
West Hills
CA 91308-4973
Practice Telephone 8183925343
Enumeration Date 2018-09-13
Last Update Date 2019-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 31290 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1722 S Lewis Rd, Camarillo, CA 930128520 8053664242

Office Location

Street Address 1101 N PACIFIC AVE STE 204
City GLENDALE
State CA
Zip Code 91202-4316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245390566 Eliza Khanjian Psychologist 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 2006-12-08
1124673447 John Brent Lague Psychologist 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 2019-08-04
1568908903 Linda Qasabian Marriage & Family Therapist 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 2017-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528538857 Forever Active Cbas Clinic/Center 1111 W Glenoaks Blvd, Glendale, CA 91202 2018-11-29
1144724436 Kristine Bustos Nurse Practitioner 1200 N Pacific Ave Ste 104, Glendale, CA 91202 2018-03-21
1295159614 Kevin Lew Dentist 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 2014-02-05
1568709350 Helen Chalakians Counselor 525 Glenwood Rd, Glendale, CA 91202 2013-01-14
1316216161 Teresa Eligio Nurse Practitioner 857 Grant Ave, Glendale, CA 91202 2011-12-23
1033486139 Advance Hospice Care, Inc. Home Health 1209 N. Central Ave Suite 204, Glendale, CA 91202 2011-11-18
1659518785 Sarine Davityan Marriage & Family Therapist 1010 N Central Ave # 310, Glendale, CA 91202 2009-01-12
1760635619 Tatiana Mikaelian Dds Inc Dentist 1209 N. Central Ave, #203, Glendale, CA 91202 2008-10-23
1669624219 Marine Demirjian Allergy & Immunology 1131 N Pacific Ave, Glendale, CA 91202 2008-10-15
1902055783 Lousine Vahagn Kirakosian Dentist 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 2008-09-16
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497226864 Austin Mccall Psychologist 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 2018-12-11
1730595646 Patrick Lockwood Psychologist 130 N Brand Blvd Ste 202, Glendale, CA 91203-2617 2014-07-11
1154744415 Anahid Assatourian Psychologist 3520 Stancrest Dr, Glendale, CA 91208-1322 2014-01-22
1013205822 Nanako Negome-kapur Psychologist 17218 N 72nd Dr Ste 101, Glendale, AZ 85308 2011-07-13
1558591172 Laura Marie Wendlandt Psychologist 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 2009-07-16
1346499761 Anna Faye Leshner Psychologist 1510 S Central Ave Ste 210, Glendale, CA 91204-2557 2008-09-10
1184816233 Juanita Mae Richard Psychologist 15082 N 59th Ave Apt 157, Glendale, AZ 85306-5234 2007-08-13
1417163528 Donna M.l. Heretick Psychologist 6451 W Prickly Pear Trl, Glendale, AZ 85310-1023 2007-05-15
1417077298 Eva J. Hageman Psychologist 20012 N 35th Ave, Glendale, AZ 85308-2204 2007-03-29
1811016942 Tina Alexandrian Psychologist 100 N Brand Blvd Ste 516, Glendale, CA 91203-2614 2007-03-28
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Competitor

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City GLENDALE
Zip Code 91202

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Dataset Information

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.

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