DR. SUSAN BAKOTA (NPI# 1861615924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861615924 |
| Entity Type | Individual |
| Full Name | DR. SUSAN BAKOTA |
| Credential | ED.D. |
| Practice Address |
9300 Wilshire Blvd Beverly Hills CA 90212-3213 |
| Mailing Address |
9300 Wilshire Blvd Ste 320 Beverly Hills CA 90212-3203 |
| Practice Telephone | 3104787733 |
| Mailing Telephone | 3104787733 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
PSY13135 | CA | Behavioral Health & Social Service Providers |
| Street Address |
9300 WILSHIRE BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217452 | Barbra Payne | Psychologist | 9300 Wilshire Blvd, Suite 306, Beverly Hills, CA 90212-3213 | 2006-07-17 |
| 1316485683 | Barbara Joan Greyhosky | Marriage & Family Therapist | 9300 Wilshire Blvd, Suite 306, Beverly Hills, CA 90212 | 2017-02-07 |
| 1396098885 | Farideh Fazlian | Psychologist | 9300 Wilshire Blvd, Ste #320, Beverly Hills, CA 90212-3213 | 2012-10-21 |
| 1285997304 | La Family Therapy | Marriage & Family Therapist | 9300 Wilshire Blvd, Suite 320, Beverly Hills, CA 90212-3213 | 2012-06-22 |
| 1801169818 | Maria Leonido-yee Md, Inc | Psychiatry & Neurology | 9300 Wilshire Blvd, Suite 510, Beverly Hills, CA 90212-3213 | 2012-02-22 |
| 1639477664 | Psla | Marriage & Family Therapist | 9300 Wilshire Blvd, Suite 306, Beverly Hills, CA 90212-3213 | 2011-02-28 |
| 1629375175 | Vanessa Spooner | Psychologist | 9300 Wilshire Blvd, Suite 306, Beverly Hills, CA 90212 | 2011-02-18 |
| 1982916219 | Christopher Emerson | Psychologist | 9300 Wilshire Blvd, Suite 306, Beverly Hills, CA 90212-3213 | 2010-07-01 |
| 1295069771 | Danielle Fagan Brooks | Marriage & Family Therapist | 9300 Wilshire Blvd, Suite 306, Beverly Hills, CA 90212-3213 | 2009-09-30 |
| 1396989653 | Modjgan M Stanislavsky | Marriage & Family Therapist | 9300 Wilshire Blvd, Suite 320, Beverly Hills, CA 90212-3213 | 2009-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346545803 | The Control Center | Psychologist | 9777 Wilshire Blvd, Suite #704, Beverly Hills, CA 90212-1910 | 2011-01-13 |
| 1780864298 | Bowman Psychiatric, A Medical Corporation | Psychologist | 9777 Wilshire Blvd, Ste. 707, Beverly Hills, CA 90212-1910 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770985004 | M2 Creative | Psychologist | 6715 Melrose Ave, Los Angeles, CA 90038-3411 | 2014-09-18 |
| 1508294083 | Silverlining Psychiatry Medical Group | Psychologist | 3252 Holiday Ct Ste 108, La Jolla, CA 92037-1807 | 2013-10-21 |
| 1235408089 | Behavioral Research Specialists, LLC | Psychologist | 230 N. Maryland Ave, #309, Glendale, CA 91206 | 2011-12-23 |
| 1730342957 | United Behavioral Center, Inc | Psychologist | 834 W Avenue J, Lancaster, CA 93534-3427 | 2008-07-08 |
| 1528245917 | Claude E. Arnett | Psychologist | 403 N Susan St, Santa Ana, CA 92703-3433 | 2008-01-28 |
| 1811102908 | Mary Ann Barr | Psychologist | 277 Cascade Dr, Mill Valley, CA 94941-5025 | 2007-05-11 |
| 1255544557 | Pituck Medical Group, Inc. | Psychologist | 5858 Magnolia Ave Ste C, Riverside, CA 92506-1886 | 2007-05-07 |
| 1932320389 | Ricque L. Brister | Psychologist | 56 Hanover Ln, Suite., 100, Chico, CA 95973-7230 | 2007-05-02 |
| 1013539121 | Sally Kei Mason | Psychologist | 510 Plaza Dr Ste 170, Folsom, CA 95630-4790 | 2020-05-12 |
| 1043691025 | New Day Institute | Psychologist | 6391 Magnolia Ave, Suite A, Riverside, CA 92506-2424 | 2015-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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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.