DR. LISA BURKLUND (NPI# 1972052694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972052694 |
| Entity Type | Individual |
| Full Name | DR. LISA BURKLUND |
| Credential | PH.D. |
| Practice Address |
429 Santa Monica Blvd Ste 460 Santa Monica CA 90401-3455 |
| Practice Telephone | 3103514474 |
| Mailing Telephone | 3103514474 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 27496 | CA | Behavioral Health & Social Service Providers |
| Street Address |
429 SANTA MONICA BLVD STE 460 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750468 | Erin Margolis | Psychologist | 1247 7th St Ste 200, Santa Monica, CA 90401-1660 | 2019-10-07 |
| 1063066132 | Lena Harris | Psychologist | 185 Pier Ave Ste 109, Santa Monica, CA 90405-5358 | 2019-07-27 |
| 1992364905 | Elisa Leal | Psychologist | 1831 Stanford St Ste 108, Santa Monica, CA 90404-4117 | 2019-06-12 |
| 1538628243 | Joanna M Ceppi | Psychologist | 2811 Wilshire Blvd Ste 660, Santa Monica, CA 90403-4823 | 2019-03-13 |
| 1013492388 | Gideon Psychology, PC | Psychologist | 1137 2nd St Ste 216, Santa Monica, CA 90403-5077 | 2018-10-02 |
| 1932615846 | Beth Levy | Psychologist | 3435 Ocean Park Blvd Ste 211, Santa Monica, CA 90405-3315 | 2017-12-15 |
| 1932633302 | Brenda Heidrich | Psychologist | 270 26th St Ste 202, Santa Monica, CA 90402-2543 | 2017-04-12 |
| 1265987861 | Diana Devilliers | Psychologist | 138 Bicknell Ave, Santa Monica, CA 90405-2221 | 2016-08-24 |
| 1205212420 | Anna Selena Cho | Psychologist | 169 Pier Ave., Suite 5, Santa Monica, CA 90405-5311 | 2015-08-11 |
| 1356753180 | Kyana Barakett | Psychologist | 1452 26th St Ste 108, Santa Monica, CA 90404-3085 | 2014-05-28 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on DR. LISA BURKLUND.
| 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.