THE REGENTS OF THE UNIVERSITY OF CALIFORNIA


Address: 910 Vine Street, Los Angeles, CA 90038-2702
Phone: 3234613106

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1801103619) 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) 1801103619
Entity Type Organization
Organization Name THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice Address 910 Vine Street
Los Angeles
CA 90038-2702
Practice Telephone 3234613106
Practice Fax Number 3234613109
Mailing Telephone 3234613106
Mailing Fax Number 3234613109
Enumeration Date 2010-09-01
Last Update Date 2010-09-01
Authorized Official Name PROF. STEVEN JOSEPH SHOPTAW (PROF PSYCHIATRY AND BEHAVIORAL SCIE)
Authorized Official Telephone 3107946206
Authorized Official Credential PHD
Is Organization Subpart Y
Parent Organization Name UCLA - VINE STREET CLINIC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PFY13300 CA Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366041469 The Regents of The University of California Clinic/Center 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 2020-10-20
1689200305 The Regents of The University of California Clinic/Center 27235 Tourney Rd Ste 1100, Valencia, CA 91355-5908 2020-03-13
1740831437 The Regents of The University of California Clinic/Center 25775 Mcbean Pkwy Ste 115, Valencia, CA 91355-3702 2019-09-24
1619431244 The Regents of The University of California Clinic/Center 7710 El Camino Real Ste F, Carlsbad, CA 92009-8506 2019-01-28
1558699249 The Regents of The University of California Psychologist 2191 Franz Hl, Los Angeles, CA 90095 2009-11-18
1689723272 The Regents of The University of California Ambulance 1212 Saasb, Ucsb, Santa Barbara, CA 93106-2003 2007-01-10
1437117074 The Regents of The University of California Psychiatry & Neurology 300 Ucla Medical Plz, Suite B200, Los Angeles, CA 90095-8346 2006-05-03
1235107566 The Regents of The University of California Internal Medicine 200 Medical Plaza, Suite 365,530,420,250,120,214, Los Angeles, CA 90095-0001 2006-03-11
1659363208 The Regents of The University of California Home Health 1010 Veteran Ave, #2212, Los Angeles, CA 90095-0001 2005-08-19
1114557295 The Regents of The University of California Psychiatry & Neurology 1801 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5609 2020-01-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 1111 Franklin St 12th Fl, Oakland, CA 94607-5201

Office Location

Street Address 910 VINE STREET
City LOS ANGELES
State CA
Zip Code 90038-2702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114568698 Kaiser Foundation Health Plan Inc Pharmacy 7007 Romaine St, Los Angeles, CA 90038 2019-10-04
1134685613 National Vision Inc Technician/Technologist 5818 Santa Monica Boulevard, Los Angeles, CA 90038 2019-02-20
1023530482 Christopher Michael Colon Case Manager/Care Coordinator 1224 N Vine Street, Los Angeles, CA 90038 2017-07-07
1841736477 Randall Smith Counselor 7000 Romaine, 207-208, La, CA 90038 2017-01-06
1780050278 Craig V. Smith, M.d., A Professional Medical Corporation Internal Medicine 6711 Melrose Ave., Los Angeles, CA 90038 2015-08-19
1033585534 M2 Recovery, Inc. Clinic/Center 6715 Melrose Ave., Los Angeles, CA 90038 2015-08-19
1457760522 Lital Shvarts Psychologist 6311 Romaine St Ste 7329, Los Angeles, CA 90038 2014-08-04
1144658071 Aaron Niemi Acupuncturist 1011 North Cole Ave, Los Angeles, CA 90038 2013-11-01
1013351139 Suren Vardanyan Non-emergency Medical Transport (VAN) 1208 N Gower St, #201, Los Angeles, CA 90038 2013-04-19
1093912966 Tina Robinson Registered Nurse 1224 Vine St., Los Angeles, CA 90038 2007-07-02
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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 90038

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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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