COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION (NPI# 1952575631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952575631 |
| Entity Type | Organization |
| Organization Name | COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION |
| Other Organization Name | COURAGE TO CHANGE, INC. |
| Practice Address |
3331 Ocean Park Blvd Suite 100 Santa Monica CA 90405-3216 |
| Practice Telephone | 3106640454 |
| Practice Fax Number | 3105538743 |
| Mailing Telephone | 3106640454 |
| Mailing Fax Number | 3105538743 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. TRACY R ZEMANSKY (CLINICAL PSYCHOLOGIST, PRINCIPAL) |
| Authorized Official Telephone | 3106640454 |
| Authorized Official Credential | PSY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21760 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Courage to Change, Inc. | Other Name - Individual/Organization |
| Street Address |
3331 OCEAN PARK BLVD SUITE 100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780673079 | Ellen G Ledley | Social Worker | 3331 Ocean Park Blvd, Suite 201, Santa Monica, CA 90405-3216 | 2005-10-19 |
| 1437485448 | Ellen Haden | Marriage & Family Therapist | 3331 Ocean Park Blvd, Santa Monica, CA 90405-3216 | 2009-10-26 |
| 1013103290 | Antonia Noble Ludwig | Marriage & Family Therapist | 3331 Ocean Park Blvd, 201, Santa Monica, CA 90405-3216 | 2007-09-20 |
| 1427267103 | Grace Oi-fong Choi | Counselor | 3331 Ocean Park Blvd, 201, Santa Monica, CA 90405-3216 | 2007-05-21 |
| 1275755126 | Gary Arthur Glickman | Marriage & Family Therapist | 3331 Ocean Park Blvd, #201, Santa Monica, CA 90405 | 2007-05-02 |
| 1114141843 | Barbara M. Katz | Marriage & Family Therapist | 3331 Ocean Park Blvd, #100, Santa Monica, CA 90405-3216 | 2007-04-12 |
| 1104962232 | Linda Doris Garnets | Psychologist | 3331 Ocean Park Blvd, Suite 201, Santa Monica, CA 90405-3225 | 2007-01-29 |
| 1649328295 | Barrie Levy | Social Worker | 3331 Ocean Park Blvd, Ste 201, Santa Monica, CA 90405-3225 | 2007-01-08 |
| 1437129889 | Susan Helene Reichmann | Marriage & Family Therapist | 3331 Ocean Park Blvd, Suite #103, Santa Monica, CA 90405-3216 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878181 | Kathryn Eva Sparks | Psychologist | 344 E Rustic Rd, Santa Monica, CA 90402-1145 | 2019-02-25 |
| 1255833596 | June Henderson Mayes | Psychologist | 2444 Wilshire Blvd Ste 400, Santa Monica, CA 90403-5810 | 2018-03-02 |
| 1518475946 | Philip Sayegh | Psychologist | 3301 Ocean Park Blvd Ste 203, Santa Monica, CA 90405-3230 | 2018-01-19 |
| 1881123917 | Brenda Heidrich | Psychologist | 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 | 2017-06-12 |
| 1851838726 | John Watkins | Psychologist | 429 Santa Monica Blvd Ste 200, Santa Monica, CA 90401-3408 | 2017-01-30 |
| 1487198503 | Cathy Quinn | Psychologist | 1137 Second St., #204, Santa Monica, CA 90403-5092 | 2016-12-08 |
| 1639500234 | Alexandra Emmons | Psychologist | 2730 Wilshire Blvd Ste 600-1, Santa Monica, CA 90403-4743 | 2013-12-06 |
| 1558708404 | Nicholas W Techentin | Psychologist | 715 23rd St, Santa Monica, CA 90402-3131 | 2013-06-02 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1043588775 | Timothy Kenji Wong | Psychologist | 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405-3230 | 2011-12-08 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION.
| 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.