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EMENTALHEALTHCENTER INC NPI 1043764335


NPI Information

NPI: 1043764335
Provider Name: EMENTALHEALTHCENTER INC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA
ZIP 90064
Phone: (310) 621-4755
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EMENTALHEALTHCENTER INC is a clinical psychologist in Los Angeles, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. EMENTALHEALTHCENTER INC NPI is 1043764335. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11500 W OLYMPIC BLVD STE 400
LOS ANGELES, CA
ZIP 90064-525
Phone: (310) 621-4755
Fax: (323) 488-9569

The provider's authorized official is Franklin Carvajal .
The authorized official title is Ceo and has the following contact phone number (310) 621-4755.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 5/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC0700XPsychologistClinicalNo
5103TC2200XPsychologistClinical Child & AdolescentNo
6103TF0000XPsychologistFamilyNo
7103TF0200XPsychologistForensicNo
8103TH0004XPsychologistHealthNo
9103TH0100XPsychologistHealth ServiceNo
10103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
11103TP2701XPsychologistGroup PsychotherapyNo
12103TS0200XPsychologistSchoolNo
131041C0700XSocial WorkerClinicalNo
14106H00000XMarriage & Family TherapistNo
15103TC0700XPsychologistClinicalPSY21148CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19672443MEDICAIDCALIFORNIA
21063608230OTHERCALIFORNIAPSYCHOLOGIST NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.