LESLIE CELIS (NPI# 1417385485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417385485 |
| Entity Type | Individual |
| Full Name | LESLIE CELIS |
| Credential | PSYD |
| Practice Address |
303 N Glenoaks Blvd Ste 200 Burbank CA 91502-1118 |
| Practice Telephone | 8185884142 |
| Mailing Telephone | 8185884142 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30832 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA BOARD OF PSYCHOLOGY | 30832 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 6266584297 | 6264981483 |
| 9650 Zelzah Ave, Northridge, CA 913252003 | 8189939311 |
| Street Address |
303 N GLENOAKS BLVD STE 200 |
| City | BURBANK |
| State | CA |
| Zip Code | 91502-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962691857 | Regional Physician Services of California PC | Internal Medicine | 303 N Glenoaks Blvd Ste 200, Burbank, CA 91502-1118 | 2007-10-17 |
| 1053882092 | Precision Ultrasound Inc | Radiology | 303 N Glenoaks Blvd Ste 200, Burbank, CA 91502-1118 | 2018-12-17 |
| 1346734308 | Eric Walz, Physical Therapist, A Professional Corporation | Physical Therapist | 303 N Glenoaks Blvd Ste 200, Burbank, CA 91502-1118 | 2018-06-21 |
| 1861914897 | Cassandra Marie Walz | Physical Therapist | 303 N Glenoaks Blvd Ste 200, Burbank, CA 91502 | 2017-07-11 |
| 1780132159 | Eric Walz | Physical Therapist | 303 N Glenoaks Blvd Ste 200, Burbank, CA 91502 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211658 | 1st Response Hospice, Inc. | Hospice Care, Community Based | 801 S Glenoaks Blvd Suite 200, Glendale, CA 91502 | 2019-12-09 |
| 1588216816 | Brookdale Hospice, Inc. | Home Health | 3089 N. Lima St. # F, Burbank, CA 91502 | 2019-07-16 |
| 1386200251 | Bestcare Transportation LLC. | Non-emergency Medical Transport (VAN) | 40 E. Verdugo Ave., Burbank, CA 91502 | 2019-05-15 |
| 1548619331 | Natalie Gold, Inc. | Pharmacy | 140 N. San Fernando Rd, Burbank, CA 91502 | 2016-06-13 |
| 1437578291 | Advance Sleep Center Inc | Specialist/Technologist, Other | 325 N Victory Blvd, Burbank, CA 91502 | 2014-04-09 |
| 1225397086 | Burbank Village Compounding Pharmacy Inc | Pharmacy | 337 E Magnolia Blvd, Burbank, CA 91502 | 2012-05-14 |
| 1942570015 | Urgent Hospice Care Inc | Home Health | 224 E. Olive St #216, Burbank, CA 91502 | 2012-01-06 |
| 1750659306 | Encore Hospice Corp | Home Health | 271 W. Alameda Ave, Burbank, CA 91502 | 2011-12-12 |
| 1255615548 | California Hospice Corp | Hospice Care, Community Based | 905 S. Lake St, Suite 201 and 202 and 202, Burbank, CA 91502 | 2011-10-05 |
| 1154609808 | Arin Hayrapetian | Dentist | 635 N Victory Pl, Burbank, CA 91502 | 2011-07-29 |
| Find all providers in zip 91502 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013316520 | Carolyn Wingfield | Psychologist | 245 E Olive Ave Ste 400, Burbank, CA 91502-1214 | 2014-08-20 |
| 1457786717 | Melody Nicole Abbene | Psychologist | 4444 W Riverside Dr Ste 397, Burbank, CA 91505 | 2013-09-05 |
| 1336498724 | Mark Douglas Pierce | Psychologist | 2219 West Olive Avenue, #250, Burbank, CA 91506-2648 | 2012-08-31 |
| 1154619104 | Bodil Nmn Sivertsen | Psychologist | 812 S Griffith Park Dr, Burbank, CA 91506-3018 | 2011-07-12 |
| 1285933705 | Carrie Ellen Miller | Psychologist | 4001 W. Alameda Ave, Ste 205, Burbank, CA 91505-4048 | 2011-03-23 |
| 1467765289 | Jennifer Larsen | Psychologist | 1921 Jackson St, Burbank, CA 91504-3537 | 2010-07-21 |
| 1922245174 | Mariah R. Gomez-falcon | Psychologist | 905 South Lake Street, Suite 201, Burbank, CA 91502 | 2009-01-09 |
| 1881713469 | Eugene H Paulin | Psychologist | 540 N Fairview St, Burbank, CA 91505-3247 | 2007-03-28 |
| 1902936305 | Beth Coleman | Psychologist | 1411 W Olive Ave Ste B, Burbank, CA 91506-2400 | 2007-03-06 |
| 1770612020 | Dannah Ilise Ziegert | Psychologist | 3808 W Riverside Dr Ste 503, Burbank, CA 91505-5301 | 2007-03-04 |
| Find all providers in BURBANK | ||||
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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.