DR. CLAYTON MATTHEW BULLOCK (NPI# 1891983748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891983748 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON MATTHEW BULLOCK |
| Credential | MD, PHD |
| Practice Address |
1152 N Poinsettia Place #7 West Hollywood CA 90046 |
| Mailing Address |
1152 N Poinsettia Pl Apt 7 West Hollywood CA 90046-5797 |
| Practice Telephone | 3236328144 |
| Practice Fax Number | 3236328144 |
| Mailing Telephone | 3236328144 |
| Mailing Fax Number | 3236328144 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2009-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A94641 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1152 N POINSETTIA PLACE #7 |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
| 1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
| 1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
| 1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
| 1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
| 1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
| Find all providers in zip 90046 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134349061 | Richard Joel Metzner | Psychiatry & Neurology | 840 Larrabee St, #1-319, West Hollywood, CA 90069-4540 | 2007-04-25 |
| 1841330800 | Tsilya Bass | Psychiatry & Neurology | 1111 N Fairfax Ave Ste 109, West Hollywood, CA 90046-5363 | 2007-02-07 |
| 1487724308 | Robert Chang | Psychiatry & Neurology | 8265 Sunset Blvd, 204, West Hollywood, CA 90046 | 2006-11-08 |
| 1649364340 | Kathy Lee Coffman | Psychiatry & Neurology | 9201 W Sunset Blvd Ste 801, West Hollywood, CA 90069-3709 | 2006-10-03 |
| 1407951825 | Aleksey Chetverukhin | Psychiatry & Neurology | 7531 Santa Monica Blvd, Ste 210, West Hollywood, CA 90046-6458 | 2006-09-13 |
| 1295842243 | Bernard Bierman | Psychiatry & Neurology | 450 N Robertson Blvd, West Hollywood, CA 90048-1732 | 2006-08-24 |
| 1548289515 | Thomas Nelson Kerrihard | Psychiatry & Neurology | 450 N Robertson Blvd Fl 2, West Hollywood, CA 90048-1732 | 2006-07-19 |
| 1457735060 | Luis Vallejo | Psychiatry & Neurology | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-07-13 |
| 1841687316 | Sabrina Reed | Psychiatry & Neurology | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-04-22 |
| 1881088433 | John Lee | Psychiatry & Neurology | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2015-03-21 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90046 |
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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.