DR. ELIZABETH JERISON TERRY (NPI# 1811157910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811157910 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH JERISON TERRY |
| Credential | PH.D. |
| Practice Address |
11340 W Olympic Blvd Suite 140 Los Angeles CA 90064-1608 |
| Mailing Address |
1112 Montana Ave # 113 Santa Monica CA 90403-1652 |
| Practice Telephone | 3104543325 |
| Mailing Telephone | 3104543325 |
| Mailing Fax Number | 3104732465 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY 20657 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 20657 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 20657 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 20657 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467829226 | Elizabeth Terry | Specialist | 1601 N 52nd St, Seattle, WA 98103-6109 | 2015-08-27 |
| 1801134713 | Elizabeth Ruth Terry | Registered Nurse | 5215 46th Ave S, Orca School, Seattle, WA 98118-2313 | 2013-01-28 |
| 1801409925 | Elizabeth Ann Terry | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-08-28 |
| 1699383638 | Elizabeth Terry | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-07-15 |
| 1619532595 | Elizabeth Katherine Terry | Social Worker | 1019 E Water St, Elmira, NY 14901-3332 | 2019-05-06 |
| 1104310259 | Elizabeth Anne Terry | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-20 |
| 1306269519 | Elizabeth Grace Terry | Nurse Anesthetist, Certified Registered | 1401 St Joseph Pkwy, Houston, TX 77002-8301 | 2014-01-23 |
| 1932441730 | Elizabeth Marie Terry | Case Manager/Care Coordinator | 132 Water Street, Elizabethtown, NY 12932 | 2013-03-20 |
| 1811223522 | Elizabeth Terry | Speech-Language Pathologist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2009-10-30 |
| 1912059809 | Elizabeth Leeann Terry | Occupational Therapist | 1428 Hwy 19 41 S, Griffin, GA 30224 | 2007-01-18 |
| Street Address |
11340 W OLYMPIC BLVD SUITE 140 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173865 | Joan Marie Calandra | Psychologist | 11340 W Olympic Blvd, Suite 150, Los Angeles, CA 90064-1608 | 2005-09-05 |
| 1720519549 | Westside Dbt, Inc | Social Worker | 11340 W Olympic Blvd, Ste 307, Los Angeles, CA 90064 | 2017-03-23 |
| 1730620402 | Cori Rosenthal | Marriage & Family Therapist | 11340 W Olympic Blvd, Suite 330, Los Angeles, CA 90064-1608 | 2017-03-15 |
| 1851836746 | David Mcguire | Marriage & Family Therapist | 11340 W Olympic Blvd, 280, Los Angeles, CA 90064-1608 | 2016-12-30 |
| 1548705098 | Claudia Kernan | Psychologist | 11340 W Olympic Blvd, 381, Los Angeles, CA 90064-1608 | 2016-12-19 |
| 1134662026 | Levine Psychological Center | Community/Behavioral Health | 11340 W Olympic Blvd, Suite 305, Los Angeles, CA 90064-1608 | 2016-11-23 |
| 1629510318 | Melissa Susman | Marriage & Family Therapist | 11340 W Olympic Blvd, Suite 266, Los Angeles, CA 90064-1608 | 2016-11-10 |
| 1992255269 | James Cowgill | Marriage & Family Therapist | 11340 W Olympic Blvd, 355, Los Angeles, CA 90064-1608 | 2016-10-10 |
| 1831646579 | Jessica Mattson | Marriage & Family Therapist | 11340 W Olympic Blvd, Suite 210, Los Angeles, CA 90064-1608 | 2016-09-09 |
| 1417404468 | Nancy Sobel | Psychologist | 11340 W Olympic Blvd, Suite 155, Los Angeles, CA 90064-1608 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1528541554 | Marlene Garza | Clinical Neuropsychologist | 7381 La Tijera Blvd Unit 45312, Los Angeles, CA 90045-7017 | 2018-09-14 |
| 1922503739 | Douglas Polster | Clinical Neuropsychologist | 300 Stein Plaza Driveway, Los Angeles, CA 90095-0001 | 2018-03-26 |
| 1356875496 | Vindia G Fernandez | Clinical Neuropsychologist | 760 Westwood Plz # 47-429a, Los Angeles, CA 90095-8353 | 2017-04-15 |
| 1528500428 | Shou-chin Christine You | Clinical Neuropsychologist | Mpac Ucla Semel Institute, 760 Westwood Plaza, C8-852, Los Angeles, CA 90095-1759 | 2016-11-08 |
| 1053766139 | Larry C Bernard | Clinical Neuropsychologist | 8560 W Sunset Blvd, Suite 500, Los Angeles, CA 90069-2311 | 2016-04-26 |
| 1164807954 | Stacey M. Bayan | Clinical Neuropsychologist | 11835 W Olympic Blvd., Ste 1265e, Los Angeles, CA 90064-5814 | 2015-07-22 |
| 1346630944 | Sloane Miller | Clinical Neuropsychologist | 1033 Gayley Ave Ste 208, Los Angeles, CA 90024-3426 | 2015-02-03 |
| 1932458155 | Nora Goudsmit | Clinical Neuropsychologist | 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661 | 2012-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
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| 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.