PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC (NPI# 1992997597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992997597 |
| Entity Type | Organization |
| Organization Name | PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC |
| Other Organization Name | SHARP PROGRAM |
| Practice Address |
616 Shatto Pl Los Angeles CA 90005-1301 |
| Practice Telephone | 2137388853 |
| Practice Fax Number | 2137385368 |
| Mailing Telephone | 2137388853 |
| Mailing Fax Number | 2137385368 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | DR. LEA CHANKIN (DIRECTOR) |
| Authorized Official Telephone | 2137388853 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sharp Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1396929022 | Pacific Forensic Psychology Associates, Inc | Counselor | 5200 San Gabriel Pl Ste G, Pico Rivera, CA 90660-2498 | 2007-12-17 |
| Street Address |
616 SHATTO PL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690537 | Daniel John King | Psychologist | 11601 Wilshire Blvd Ste 5, Los Angeles, CA 90025-1995 | 2009-01-28 |
| 1558589408 | Robin Drapkin | Psychologist | 11377 W Olympic Blvd, Suite 900, Los Angeles, CA 90064-1625 | 2007-04-23 |
| 1417590886 | Jasmine L Hendrix | Psychologist | 8300 S Vermont Ave, Los Angeles, CA 90044-3493 | 2019-10-17 |
| 1992270052 | Hillary Tilles | Psychologist | 2307 W 6th St, Los Angeles, CA 90057-3119 | 2018-10-04 |
| 1548686124 | Kenneth Eatmon | Psychologist | 617 S Olive St Ste 200, Los Angeles, CA 90014-1646 | 2014-03-06 |
| 1285913392 | Aram Keshishyan | Psychologist | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2011-08-06 |
| 1457654238 | Ryan Solomon | Psychologist | 100 W 1st St, 6th Floor, Los Angeles, CA 90012-4112 | 2010-12-16 |
| 1578863023 | Robert W. Godwin | Psychologist | 1990 S Bundy Dr, Ste 300, Los Angeles, CA 90025-5240 | 2010-11-01 |
| 1477782308 | Lindsay Salseda | Psychologist | 621 S Virgil Ave, Los Angeles, CA 90005-4000 | 2009-07-14 |
| 1457515165 | Medina Baumgart | Psychologist | 450 Bauchet St, Attn: L.a. County Dmh, Jail Mental Health Services, Los Angeles, CA 90012-2907 | 2008-07-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, 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.