BEVERLY GARDENS FAMILY THERAPY INC (NPI# 1578110953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578110953 |
| Entity Type | Organization |
| Organization Name | BEVERLY GARDENS FAMILY THERAPY INC |
| Practice Address |
152 S Lasky Dr Ste 208e Beverly Hills CA 90212-1720 |
| Mailing Address |
1180 Winthrop Ln Ventura CA 93001-4048 |
| Practice Telephone | 3104635656 |
| Mailing Telephone | 3104635656 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | DR. KERRY O'REILLY (CEO) |
| Authorized Official Telephone | 3104635656 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
152 S LASKY DR STE 208E |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136657 | Avi Stewart | Counselor | 8370 Wilshire Blvd Ste 220, Beverly Hills, CA 90211-2335 | 2019-07-19 |
| 1649836545 | Deborah Howell | Counselor | 9730 Wilshire Blvd Ste 107, Beverly Hills, CA 90212-2003 | 2019-05-15 |
| 1679099212 | Shannie Jenny Schwartz | Counselor | 9713 Santa Monica Blvd Ste 202, Beverly Hills, CA 90210-4237 | 2017-08-15 |
| 1811350812 | Catherine Musicant | Counselor | 120 El Camino Dr, Suite 220, Beverly Hills, CA 90212-2730 | 2016-03-29 |
| 1356702872 | Victoria Moreno | Counselor | 152 S Lasky Dr Ste 202, Beverly Hills, CA 90212-1716 | 2016-03-10 |
| 1811353758 | Elaine Joyce Horigian | Counselor | 18585 Hillcrest St, Beverly Hills, MI 48025-3039 | 2016-01-07 |
| 1083862759 | Richard Paul Achiro | Counselor | 8920 Wilshire Blvd Ste 334, Beverly Hills, CA 90211-2002 | 2008-09-05 |
| 1205084027 | Indhushree S. Rajan | Counselor | 360 N Bedford Dr Ste 219, Beverly Hills, CA 90210-5124 | 2008-09-04 |
| 1336208271 | Kathleen Kern | Counselor | 205 S Beverly Dr, Suite 203, Beverly Hills, CA 90212-3827 | 2006-12-06 |
| 1225110158 | Anne Elizabeth Reisman | Counselor | 458 S Crescent Dr, Beverly Hills, CA 90212-4506 | 2006-10-19 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on BEVERLY GARDENS FAMILY THERAPY INC.
| 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.