ELDERLY BEHAVIORAL WELLNESS SERVICES INC (NPI# 1871983106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871983106 |
| Entity Type | Organization |
| Organization Name | ELDERLY BEHAVIORAL WELLNESS SERVICES INC |
| Practice Address |
2001 S Barrington Ave Ste. 219 Los Angeles CA 90025-5363 |
| Practice Telephone | 3109999683 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-04-26 |
| Authorized Official Name | ELENI BAGOURDI (CEO) |
| Authorized Official Telephone | 3109999683 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY22542 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2001 S BARRINGTON AVE STE. 219 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972594000 | Jan L Lipschutz | Social Worker | 2001 S Barrington Ave, #307, Los Angeles, CA 90025-5363 | 2005-10-28 |
| 1710515036 | The Planning Co., Inc | Clinic/Center | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2020-03-31 |
| 1164056487 | Paige Bakman | Counselor | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2020-02-25 |
| 1114573573 | Zoe Cohen | Social Worker | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2019-08-12 |
| 1396306627 | Janet Suzuki | Social Worker | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2019-06-26 |
| 1699234179 | Jessica Sassoon | Marriage & Family Therapist | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2019-03-14 |
| 1700358009 | Kim A Richardson Lindley | Counselor | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2018-12-26 |
| 1639640014 | Katarina Matolek | Marriage & Family Therapist | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2018-12-11 |
| 1134695554 | Sean Bartley Mc Donald | Counselor | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2018-10-24 |
| 1740764265 | Ayelet Melany Cohen | Marriage & Family Therapist | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1063410397 | Jung Yun Kim | Psychologist | 3540 Wilshire Blvd, Los Angeles, CA 90010-2307 | 2005-07-11 |
| 1912426024 | Sylvia Montano | Psychologist | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2017-09-11 |
| 1598280620 | Patricia Zadeh | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2017-08-09 |
| 1376913400 | The Camden Center Older Adults Program, Inc. | Psychologist | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2015-10-01 |
| 1083098685 | John H. Peloian | Psychologist | 12401 Wilshire Blvd, Suite 300-4, Los Angeles, CA 90025-1085 | 2015-07-13 |
| 1760815765 | Elizabeth Trejo | Psychologist | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2013-08-13 |
| 1538466800 | Anahita Gheytanchi | Psychologist | 2035 Westwood Blvd, Suite 208, Los Angeles, CA 90025-6332 | 2011-02-22 |
| 1588975247 | Michael Frese | Psychologist | 11911 San Vicente Blvd Ste 280, Los Angeles, CA 90049-6611 | 2010-06-28 |
| 1548477458 | Monika Riederle | Psychologist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2007-05-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on ELDERLY BEHAVIORAL WELLNESS SERVICES INC.
| 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.