DR. SHELLY P. HARRELL


Address: 10700 Santa Monica Blvd, Suite 315, Los Angeles, CA 90025-4768
Phone: 4242092223

DR. SHELLY P. HARRELL (NPI# 1518415215) 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) 1518415215
Entity Type Individual
Full Name DR. SHELLY P. HARRELL
Credential PH.D.
Practice Address 10700 Santa Monica Blvd
Suite 315
Los Angeles
CA 90025-4768
Practice Telephone 4242092223
Practice Fax Number 8883807835
Mailing Telephone 4242092223
Mailing Fax Number 8883807835
Enumeration Date 2016-09-12
Last Update Date 2016-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY11531 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY11531 CA Behavioral Health & Social Service Providers
N 103TH0100X Psychologist
Specialization: Health Service
PSY11531 CA Behavioral Health & Social Service Providers

Office Location

Street Address 10700 SANTA MONICA BLVD
SUITE 315
City LOS ANGELES
State CA
Zip Code 90025-4768

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366408908 Jessica Wendy Seaton Chiropractor 10700 Santa Monica Blvd, Los Angeles, CA 90025-4768 2006-04-22
1508217894 Diana Hovsepian Behavioral Analyst 10700 Santa Monica Blvd, #214, Los Angeles, CA 90025-4768 2016-06-28
1972954626 Jo Mullins Behavioral Analyst 10700 Santa Monica Blvd, Suite 214, Los Angeles, CA 90025-4768 2016-06-23
1013368935 Marlesha Bell Behavioral Analyst 10700 Santa Monica Blvd, Suite #214, Los Angeles, CA 90025-4768 2016-06-22
1285084186 Sydney Singer Behavioral Analyst 10700 Santa Monica Blvd, Suite 214, Los Angeles, CA 90025-4768 2016-06-21
1174903058 Dixit Medical Inc Internal Medicine 10700 Santa Monica Blvd, Suite 309a, Los Angeles, CA 90025-4768 2015-06-04
1124411301 Trina Health of West Los Angeles, LLC Clinic/Center 10700 Santa Monica Blvd, Suite 309, Los Angeles, CA 90025-4768 2015-03-11
1043609449 Recovery Partners, P.C. Psychologist 10700 Santa Monica Blvd, Suite 310, Los Angeles, CA 90025-4768 2015-01-22
1437556974 Lee Miller Marriage & Family Therapist 10700 Santa Monica Blvd, Los Angeles, CA 90025-4768 2014-11-26
1508261025 Hazelden Betty Ford Foundation Substance Abuse Rehabilitation Facility 10700 Santa Monica Blvd, Suite 310, Los Angeles, CA 90025-4768 2014-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962324 Marjan-marcia Khalitchi-alavi Psychologist 12400 Wilshire Blvd #230, Los Angeles, CA 90025 2020-11-06
1245852599 Maureen Bridget Mcglynn Marriage & Family Therapist 1531 Purdue Avenue, Los Angeles, CA 90025 2020-05-09
1578118857 Gregory J Bogie Physical Therapist 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 2019-08-05
1518527712 David Allen Goldstein Marriage & Family Therapist 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 2019-06-19
1386104875 Kevin Meir Youssefzadeh Student in an Organized Health Care Education/Training Program 304 Dowlen Dr, Los Angeles, CA 90025 2019-03-21
1336609189 Psychotherapy Center for Healing and Personal Growth Psychologist 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 2019-03-20
1477028819 Flora Ma Nurse Practitioner 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 2018-10-12
1457834285 Yeesul Yoo Chiropractor 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 2018-09-07
1902387160 Angelica Carmen Regalado Behavior Technician 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 2018-08-26
1033603378 Craig Allen Gillett Marriage & Family Therapist 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 2018-06-20
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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
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
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Competitor

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City LOS ANGELES
Zip Code 90025

Improve Information

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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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