ACACIA PSYCHOLOGICAL CORPORATION (NPI# 1386139087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386139087 |
| Entity Type | Organization |
| Organization Name | ACACIA PSYCHOLOGICAL CORPORATION |
| Other Organization Name | ACACIA COUNSELING & WELLNESS |
| Practice Address |
1019 Gayley Ave Fl 2 Los Angeles CA 90024-3437 |
| Mailing Address |
948 Embarcadero Del Norte Ste 102 Goleta CA 93117-5106 |
| Practice Telephone | 8886994873 |
| Practice Fax Number | 8054726099 |
| Mailing Telephone | 8054726099 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | MS. JESS RODRIGUEZ (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 8054726099 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACACIA PSYCHOLOGICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Acacia Counseling & Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043757925 | Acacia Psychological Corporation | Counselor | 2720 University Ave Se, Unit B, Minneapolis, MN 55414-3210 | 2017-01-30 |
| 1295279883 | Acacia Psychological Corporation | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2016-12-15 |
| 1053912477 | Acacia Psychological Corporation | Psychologist | 5900 Balcones Dr Ste 100, Austin, TX 78731-4298 | 2020-11-03 |
| 1962061739 | Acacia Psychological Corporation | Psychologist | 740 Front St Ste 220, Santa Cruz, CA 95060-4536 | 2019-06-06 |
| 1770148827 | Acacia Psychological Corporation | Psychologist | 4255 Campus Dr Ste A245, Irvine, CA 92612-8630 | 2019-05-03 |
| 1316415359 | Acacia Psychological Corporation | Psychologist | 8950 Villa La Jolla Dr Ste C121, La Jolla, CA 92037-1707 | 2018-11-07 |
| 1033561147 | Acacia Psychological Corporation | Psychologist | 948 Embarcadero Del Norte Ste 102, Goleta, CA 93117-5106 | 2016-07-13 |
| Street Address |
1019 GAYLEY AVE FL 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437714060 | Amy Snyder | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2019-05-09 |
| 1710442355 | Lois Lim | Marriage & Family Therapist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2019-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| 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 |
| 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 |
| 1194229914 | Michael Joel Greenberg | Psychologist | 1060 S Sherbourne Dr Apt 308, Los Angeles, CA 90035-2145 | 2018-03-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on ACACIA PSYCHOLOGICAL CORPORATION.
| 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.