TRACI CRITTON MASTANDREA (NPI# 1831234277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831234277 |
| Entity Type | Individual |
| Full Name | TRACI CRITTON MASTANDREA |
| Credential | PH.D. |
| Practice Address |
Harbor-ucla Medical Center, Department of Psychiatry Box 488 Torrance CA 90509 |
| Practice Telephone | 3102222328 |
| Practice Fax Number | 3103203521 |
| Mailing Telephone | 3102222328 |
| Mailing Fax Number | 3103203521 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
HARBOR-UCLA MEDICAL CENTER, DEPARTMENT OF PSYCHIATRY BOX 488 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215077243 | Cara L.. Depamphilis | Student in an Organized Health Care Education/Training Program | Harbor-ucla Medical Center, Department of Psychiatry, 1000 W. Carson Street, Torrance, CA 90509 | 2007-02-07 |
| 1457494957 | Thuy Rotunda | Student in an Organized Health Care Education/Training Program | Harbor-ucla Medical Center, Department of Psychiatry, Box 498, 1000 W. Carson St., Torrance, CA 90509 | 2007-02-14 |
| 1356482285 | Diana Olarte | Student in an Organized Health Care Education/Training Program | Harbor-ucla Medical Center, Department of Psychiatry, Box 498, 1000 W. Carson St., Torrance, CA 90509 | 2007-02-12 |
| 1013057041 | Negar Shekarabi | Student in an Organized Health Care Education/Training Program | Harbor-ucla Medical Center, Department of Psychiatry, Box 498, 1000 W. Carson Street, Torrance, CA 90509 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1811444946 | Enoc Elias | Counselor | 1000 W Carson St, Box 498, Torrance, CA 90509 | 2016-09-07 |
| 1013362417 | Sonam Ghanshyam Kapadia | Student in an Organized Health Care Education/Training Program | 1000 W. Carson Street, Box 461, Torrance, CA 90509 | 2016-05-04 |
| 1902280548 | Nicholas Dabai | Student in an Organized Health Care Education/Training Program | 1000 W. Carson St. Box 461, Harbor-ucla Medical Center, Torrance, CA 90509 | 2015-07-14 |
| 1497172332 | Amber Bridges | Specialist | 1000 W. Carson Street, Box 8, Torrance, CA 90509 | 2014-03-27 |
| 1871914457 | Syrone Liu | Radiology | 1000 W. Carson St., Box 27, Torrance, CA 90509 | 2013-12-26 |
| 1316225592 | Nishant Mukesh Gandhi | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Box 400, Torrance, CA 90509 | 2011-07-22 |
| 1689952863 | Sharon Hartmans | Student in an Organized Health Care Education/Training Program | 1000 W Carson St. Box 400, Torrance, CA 90509 | 2011-07-22 |
| 1134453236 | Department of Mental Health | Psychiatric Hospital | 21730 S. Vermont Avenue, Suite 210, Torrance, CA 90509 | 2009-09-23 |
| 1649405895 | Claire Park | Internal Medicine | 1000 W.carson Street, Endocrinology, Box 446., Torrance, CA 90509 | 2009-05-18 |
| Find all providers in zip 90509 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247303 | Michelle Farivar | Psychologist | 1000 W Carson St, Torrance, CA 90502-2004 | 2015-10-07 |
| 1619355773 | Laura Rae Burns | Psychologist | 21081 S Western Ave Ste 295, Torrance, CA 90501-1707 | 2015-05-09 |
| 1275932097 | Nicole Danielle Callella | Psychologist | 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505-6832 | 2014-08-18 |
| 1881003697 | Keisha Claudette White | Psychologist | 21081 S Western Ave Ste 295, Torrance, CA 90501-1707 | 2014-08-06 |
| 1831432806 | Crossroads Institute for Psychotherapy and Assessment, Inc | Psychologist | 2601 Airport Dr, Suite 135, Torrance, CA 90505-6140 | 2013-03-28 |
| 1427393081 | Denise Godfrey-pinn | Psychologist | 21231 Hawthorne Blvd, Torrance, CA 90503-5501 | 2012-12-06 |
| 1104175934 | Clear Skies Psychological Services Corporation | Psychologist | 2790 Skypark Dr, Suite 205, Torrance, CA 90505-5300 | 2012-09-07 |
| 1205140548 | Pediatric Minds Medical Center | Psychologist | 3524 Torrance Blvd, Suite 103, Torrance, CA 90503-4821 | 2010-07-28 |
| 1023241957 | Myan Le | Psychologist | 1000 W Carson St, Torrance, CA 90502-2004 | 2009-08-26 |
| 1013168764 | Stanley Chow | Psychologist | 2325 Crenshaw Blvd, Icat/dmh, Torrance, CA 90501-3325 | 2008-09-30 |
| Find all providers in TORRANCE | ||||
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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.