DR. BRANDON R. CHUMAN (NPI# 1487001434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487001434 |
| Entity Type | Individual |
| Full Name | DR. BRANDON R. CHUMAN |
| Credential | PSY.D |
| Practice Address |
11835 W Olympic Blvd Ste 1265e Los Angeles CA 90064 |
| Mailing Address |
11835 W Olympic Blvd Ste 1265e Los Angeles CA 90064-5814 |
| Practice Telephone | 3102734843 |
| Practice Fax Number | 3102735056 |
| Mailing Telephone | 3102734843 |
| Mailing Fax Number | 3102735056 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PSY28338 | CA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 5509 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4002 Executive Park Blvd Ste 300, Southport, NC 284619080 | 9107429243 | 8887461787 |
| 3205 Randall Pkwy Ste 105, Wilmington, NC 284032565 | 9107429243 | 8887461787 |
| 10801 National Blvd, Suite 611, Los Angeles, CA 900644170 | 3102734843 | 3102735056 |
| Street Address |
11835 W OLYMPIC BLVD STE 1265E |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689600744 | Jennifer Lee Sharples | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814 | 2006-06-23 |
| 1215549613 | Ana Martinez De Andino | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814 | 2020-08-18 |
| 1619508249 | Adrianna Elyse Holness | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814 | 2020-02-02 |
| 1992283188 | Melissa Matos | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2018-07-31 |
| 1699279679 | Kenny A Karyadi | Clinical Neuropsychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2018-03-22 |
| 1356849459 | Audrey E Martinez | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2018-01-24 |
| 1154837300 | Kristina Marie Reynolds | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2017-12-26 |
| 1366953986 | Jennefer S Ho | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2017-10-23 |
| 1184154726 | Earl Clare Thorndyke IIi | Clinical Neuropsychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064 | 2017-06-15 |
| 1457880809 | Jayce Long | Psychologist | 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| 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 |
| 1386139087 | Acacia Psychological Corporation | Psychologist | 1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437 | 2018-06-25 |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
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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.