DR. TERESA ROXANNE NICOLAOU (NPI# 1811423742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811423742 |
| Entity Type | Individual |
| Full Name | DR. TERESA ROXANNE NICOLAOU |
| Credential | LMFT, PSYD |
| Practice Address |
241 19th St Santa Monica CA 90402-2407 |
| Practice Telephone | 2133080505 |
| Mailing Telephone | 2133080505 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT99236 | CA | Behavioral Health & Social Service Providers |
| Street Address |
241 19TH ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90402-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972091999 | Foundation Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402 | 2018-04-25 |
| 1154822997 | Leora Aframian | Dietitian, Registered | 805 Woodacres Rd, Santa Monica, CA 90402 | 2018-02-27 |
| 1881123917 | Brenda Heidrich | Psychologist | 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 | 2017-06-12 |
| 1578005559 | Dor Keyvani | Pharmacist | 326 San Vicente Blvd., Apt.n, Santa Monica, CA 90402 | 2016-11-08 |
| 1083905707 | Bruce R. Gordon | Psychologist | 270-26th St., Suite 202, Santa Monica, CA 90402 | 2011-04-28 |
| 1740426352 | Adel E. Salawy | Family Medicine | 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 | 2009-01-02 |
| 1093927899 | Martin S. Wasserman M.d. Inc. | Psychoanalyst | 510 E Channel Rd., Santa Monica., CA 90402 | 2007-05-04 |
| 1649339987 | Massoud Nemazee | Dentist | 757 Ocean Ave #307, Santa-monica, CA 90402 | 2006-12-06 |
| 1851468136 | Deborah Nadel | Psychiatry & Neurology | 304 Euclid St, Santa Monica, CA 90402 | 2006-11-29 |
| 1376592345 | David Lewis Geffner | Internal Medicine | 310 16th St., Santa Monica, CA 90402 | 2006-05-08 |
| Find all providers in zip 90402 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1295335420 | Betsy Carol Cantor | Marriage & Family Therapist | 1011 Euclid St Unit E, Santa Monica, CA 90403-4296 | 2020-10-27 |
| 1306444666 | Andrew Cooper Wasser | Marriage & Family Therapist | 2730 Wilshire Blvd Ste 620, Santa Monica, CA 90403-4755 | 2020-10-09 |
| 1386250942 | Allison Nicole Crooks | Marriage & Family Therapist | 2444 Wilshire Blvd Ste 607, Santa Monica, CA 90403-5814 | 2020-09-18 |
| 1902411374 | Maura Tousignant | Marriage & Family Therapist | 1410 15th St Apt 23, Santa Monica, CA 90404-2724 | 2020-09-12 |
| 1285252668 | Erika Morris | Marriage & Family Therapist | 1621 Centinela Ave Apt E, Santa Monica, CA 90404-4262 | 2020-07-11 |
| 1376168658 | Rosa Morrow | Marriage & Family Therapist | 844 Grant St Apt D, Santa Monica, CA 90405-1361 | 2020-06-11 |
| 1992327357 | Kimberly Sandra Benning | Marriage & Family Therapist | 2029 Olympic Blvd Apt 112, Santa Monica, CA 90404-3964 | 2020-05-08 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1487283537 | Stephanie Gilbert | Marriage & Family Therapist | 528 Arizona Ave Ste 220, Santa Monica, CA 90401-1442 | 2020-04-01 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90402 |
Please comment or provide details below to improve the information on DR. TERESA ROXANNE NICOLAOU.
| 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.