RICHELLE KONCZAK (NPI# 1396287918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396287918 |
| Entity Type | Individual |
| Full Name | RICHELLE KONCZAK |
| Practice Address |
18646 Oxnard St Tarzana CA 91356 |
| Mailing Address |
18646 Oxnard St Tarzana CA 91356-1411 |
| Practice Telephone | 8189961051 |
| Mailing Telephone | 8189961051 |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSB94023119 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11026 Ventura Blvd, Suite 12, Studio City, CA 916043566 | 8188502554 | |
| 18700 Oxnard St, Tarzana, CA 913561413 | 8189961051 |
| Street Address |
18646 OXNARD ST |
| City | TARZANA |
| State | CA |
| Zip Code | 91356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841202066 | Desiree Ginette Gonzalez Long | Marriage & Family Therapist | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2006-08-13 |
| 1407456155 | Amber Ruiz | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-30 |
| 1265032932 | Jason R Oster | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-10-30 |
| 1194322487 | Briana Johnson | Case Manager/Care Coordinator | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-08 |
| 1487261780 | Alison Benson | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-09-30 |
| 1558978056 | Erica Hernandez | Case Manager/Care Coordinator | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-09-28 |
| 1073124905 | Guy Martin Sherk | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-08-13 |
| 1538770615 | Breek Sundy | Licensed Vocational Nurse | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-08-12 |
| 1336759364 | David Lundberg | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-08-04 |
| 1740890193 | Teresa Lynn Herrera | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1275177180 | Melissa Wasserman | Psychologist | 5567 Reseda Blvd Ste 200, Tarzana, CA 91356-2648 | 2019-11-04 |
| 1457712085 | Orly Marmur Psychological Corp | Psychologist | 5361 Veloz Ave, Tarzana, CA 91356-4127 | 2016-03-09 |
| 1891070017 | George Gamez, Phd Inc | Psychologist | 18345 Ventura Blvd Ste 300, Tarzana, CA 91356-4242 | 2011-10-19 |
| 1932323169 | Psychmed West A Psychological Corporation | Psychologist | 6022 Evenhaim Lane, Tarzana, CA 91356 | 2007-04-12 |
| 1407942030 | Kenneth A Parker | Psychologist | 4710 Hermano Drive, Tarzana, CA 91356-4516 | 2006-10-04 |
| 1528099611 | Delphine Joanne Demore | Psychologist | 18345 Ventura Blvd, Suite 300, Tarzana, CA 91356-4232 | 2006-07-06 |
| 1447779087 | Shivani Bhakta | Psychologist | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2017-09-14 |
| 1750835229 | Shery Peimanizar | Psychologist | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2016-08-12 |
| 1083094668 | Narda Iris Gonzalez | Psychologist | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2015-06-09 |
| 1659767176 | Rachel Zipper | Psychologist | 18700 Oxnard St, Tarzana, CA 91356-1413 | 2015-04-10 |
| Find all providers in TARZANA | ||||
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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.