EMMADA PSYCHOLOGY CENTER, INC. (NPI# 1891032652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891032652 |
| Entity Type | Organization |
| Organization Name | EMMADA PSYCHOLOGY CENTER, INC. |
| Practice Address |
8939 S Sepulveda Blvd Suite #200 Los Angeles CA 90045-3631 |
| Mailing Address |
595 E Colorado Blvd Ste 211 Pasadena CA 91101-2028 |
| Practice Telephone | 3109030840 |
| Mailing Telephone | 8668634645 |
| Mailing Fax Number | 8668634824 |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. RICKEY WILLIAMSON (PRESIDENT) |
| Authorized Official Telephone | 8668634645 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 21442 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
23098 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
24532 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20072 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 595 E Colorado Blvd Ste 211, Pasadena, CA 911012028 | 8668634645 | 8668634824 |
| Street Address |
8939 S SEPULVEDA BLVD SUITE #200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043260649 | Primescan Medical Diagnostic, Inc. | Physiological Laboratory | 8939 S Sepulveda Blvd, Suite 504, Los Angeles, CA 90045-3631 | 2006-05-12 |
| 1376164038 | Tarya Williams | Behavior Technician | 8939 S Sepulveda Blvd, Los Angeles, CA 90045-3631 | 2020-05-04 |
| 1255702148 | Angela Hyman | Home Health | 8939 S Sepulveda Blvd, Suite 102, Los Angeles, CA 90045-3631 | 2015-10-18 |
| 1831560051 | Tender Love Home Care Services | In Home Supportive Care | 8939 S Sepulveda Blvd, Suite 102, Los Angeles, CA 90045-3631 | 2015-10-14 |
| 1689054405 | Jessica Rae Carson | Rehabilitation Practitioner | 8939 S Sepulveda Blvd, Suite 460, Los Angeles, CA 90045-3631 | 2015-06-06 |
| 1851778567 | Mans Physical Therapy PC | Physical Therapist | 8939 S Sepulveda Blvd, Ste 110 #292, Los Angeles, CA 90045-3631 | 2015-05-01 |
| 1689061988 | Anish Garg | Anesthesiology | 8939 S Sepulveda Blvd, #110, Los Angeles, CA 90045-3631 | 2015-04-24 |
| 1366880312 | Linsay Helmick | Marriage & Family Therapist | 8939 S Sepulveda Blvd, Ste 414, Los Angeles, CA 90045-3631 | 2013-06-12 |
| 1063794386 | Delilah Navarrette | Rehabilitation Practitioner | 8939 S Sepulveda Blvd, Suite 460, Los Angeles, CA 90045-3631 | 2011-09-13 |
| 1215235585 | Kirsten Larsen Muster | Social Worker | 8939 S Sepulveda Blvd, Suite 460, Los Angeles, CA 90045-3631 | 2011-03-09 |
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| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.