THE BLUE CLINIC: A PSYCHOLOGY PRACTICE (NPI# 1720433527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720433527 |
| Entity Type | Organization |
| Organization Name | THE BLUE CLINIC: A PSYCHOLOGY PRACTICE |
| Practice Address |
633 W 5th St 2600 Los Angeles CA 90071-2005 |
| Practice Telephone | 2132904183 |
| Mailing Telephone | 2132904183 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | DR. ADAOBI I ANYEJI (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2132904183 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26828 | CA | Behavioral Health & Social Service Providers |
| Street Address |
633 W 5TH ST 2600 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90071-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906343 | Kelly Blasco | Dietitian, Registered | 633 W 5th St, Los Angeles, CA 90071-2005 | 2020-06-10 |
| 1063058964 | Erica Markovitz | Dietitian, Registered | 633 W 5th St, Los Angeles, CA 90071-2005 | 2019-11-26 |
| 1568018430 | Veronica Nicole Buacharern | Dietitian, Registered | 633 W 5th St, Los Angeles, CA 90071-2005 | 2019-08-15 |
| 1184110124 | Jody Herman | Dietitian, Registered | 633 W 5th St, Los Angeles, CA 90071-2005 | 2018-07-02 |
| 1700235488 | Jay Evan Burke | Marriage & Family Therapist | 633 W 5th St, Suite 26067, Los Angeles, CA 90071-2005 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917282 | Bamboo Nutrition Therapy, Inc. | Dietitian, Registered | 633 W 5th St Ste 2600, Los Angeles, CA 90071 | 2018-06-30 |
| 1629295639 | Naomi Blum | Social Worker | 601 W. 5th St., #310, Los Angeles, CA 90071 | 2007-04-19 |
| 1003989476 | Lynn A Slade | Social Worker | 601 West Fifth Street, 310, Los Angeles, CA 90071 | 2006-11-15 |
| 1184706681 | Christopher Bartlett Franklin | Psychologist | 520 S Grand Ave Ste 680, Los Angeles, CA 90071 | 2006-10-20 |
| 1215934971 | Craig David Gordon | Internal Medicine | 333 South Hope Street, Floor 31, Capital Group, La, CA 90071 | 2005-07-07 |
| 1760734883 | James C Feng | Dentist | 350 S Figueroa St, Suite 551, Los Angeles, CA 90071-1102 | 2012-10-12 |
| 1023671815 | Debra Duran | Registered Nurse | 350 S Figueroa St Ste 990, Los Angeles, CA 90071-1308 | 2019-04-17 |
| 1487725016 | Pital Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 333 S Grand Ave Ste 3310, Los Angeles, CA 90071-1538 | 2006-11-13 |
| 1134601784 | Adriana Fernandez | Social Worker | 355 S Grand Ave, Los Angeles, CA 90071-1560 | 2018-08-30 |
| 1457813859 | Mark Tinley | Marriage & Family Therapist | 445 S Figueroa St # 3128, Los Angeles, CA 90071-1602 | 2019-04-03 |
| Find all providers in zip 90071 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90071 |
Please comment or provide details below to improve the information on THE BLUE CLINIC: A PSYCHOLOGY PRACTICE.
| 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.