UCLA PRACTICE PLAN (NPI# 1750368999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750368999 |
Entity Type | Organization |
Organization Name | UCLA PRACTICE PLAN |
Practice Address |
300 Medical Plaza Los Angeles CA 90095 |
Mailing Address |
File 2939 Los Angeles CA 90074 |
Practice Telephone | 3108259989 |
Mailing Telephone | 3108259989 |
Enumeration Date | 2005-12-29 |
Last Update Date | 2020-04-09 |
Authorized Official Name | MICHAEL J GITLIN (PROF OF CLIN PSY CHAIR & DIRECTOR) |
Authorized Official Telephone | 3108259989 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 235Z00000X | Speech-Language Pathologist | CA | Speech, Language and Hearing Service Providers | |
N | 103TC0700X |
Psychologist Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
CA | Behavioral Health & Social Service Providers | |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0053840 | 05 | |
CA | GSP000650 | 05 | |
CA | GPS000090 | 05 |
Other Name | Type Code |
---|---|
UC Regents Neuropsychiatric Behavioral Health | Doing Business As Name - Organization |
Street Address |
300 MEDICAL PLAZA |
City | LOS ANGELES |
State | CA |
Zip Code | 90095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417445958 | Aarti Nair | Clinical Neuropsychologist | 300 Medical Plaza, Los Angeles, CA 90095-0001 | 2018-04-30 |
1083121719 | Kalina Babeva | Psychologist | 300 Medical Plaza, Los Angeles, CA 90095-0001 | 2018-01-03 |
1720506272 | Wesley Thomas Kim Kerr | Student in an Organized Health Care Education/Training Program | 300 Medical Plaza, Los Angeles, CA 90095 | 2017-09-05 |
1922250240 | Suman A. Kalanithi | Psychiatry & Neurology | 300 Medical Plaza, Suite B-200, Los Angeles, CA 90095-0001 | 2008-10-17 |
1730348269 | Marisa C. Chang | Psychiatry & Neurology | 300 Medical Plaza, Suite B200, Los Angeles, CA 90095-0001 | 2008-06-09 |
1912176660 | Kristi Lynn Wagner-steh | Psychologist | 300 Medical Plaza, B200, Los Angeles, CA 90095-0001 | 2008-02-27 |
1467639542 | Robin L Kissell | Psychiatry & Neurology | 300 Medical Plaza, Los Angeles, CA 90095-0001 | 2008-01-30 |
1275710352 | Phaizon Wood | Marriage & Family Therapist | 300 Medical Plaza, Los Angeles, CA 90095-0001 | 2008-01-30 |
1730379371 | Camthuy Quang Tran | Psychiatry & Neurology | 300 Medical Plaza, Suite B-200, Los Angeles, CA 90095-0001 | 2007-07-30 |
1891985479 | Roberta Freeman | Registered Nurse | 300 Medical Plaza, Los Angeles, CA 90095-0001 | 2007-07-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
Find all providers in zip 90095 |
Taxonomy Code | 103TA0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Adult Development & Aging |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
1063410397 | Jung Yun Kim | Psychologist | 3540 Wilshire Blvd, Los Angeles, CA 90010-2307 | 2005-07-11 |
1912426024 | Sylvia Montano | Psychologist | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2017-09-11 |
1598280620 | Patricia Zadeh | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2017-08-09 |
1376913400 | The Camden Center Older Adults Program, Inc. | Psychologist | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2015-10-01 |
1083098685 | John H. Peloian | Psychologist | 12401 Wilshire Blvd, Suite 300-4, Los Angeles, CA 90025-1085 | 2015-07-13 |
1871983106 | Elderly Behavioral Wellness Services Inc | Psychologist | 2001 S Barrington Ave, Ste. 219, Los Angeles, CA 90025-5363 | 2015-01-26 |
1760815765 | Elizabeth Trejo | Psychologist | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2013-08-13 |
1538466800 | Anahita Gheytanchi | Psychologist | 2035 Westwood Blvd, Suite 208, Los Angeles, CA 90025-6332 | 2011-02-22 |
1588975247 | Michael Frese | Psychologist | 11911 San Vicente Blvd Ste 280, Los Angeles, CA 90049-6611 | 2010-06-28 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90095 |
Please comment or provide details below to improve the information on UCLA PRACTICE PLAN.
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.