NPIMap

Organization Active NPI

Foundations Treatment Center

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1003061029
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FOUNDATIONS TREATMENT CENTER
Practice address
11500 W Olympic Blvd Ste 420
Los Angeles, CA 90064-1564
Phone
(888) 800-5761
Fax
(818) 530-7808
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lexi Welanetz-Bursin, PSY.D.
Title
Director
Phone
(888) 800-5761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11500 W Olympic Blvd Ste 420
Los Angeles, CA 90064-1564

Mailing address

11500 W Olympic Blvd Ste 420
Los Angeles, CA 90064-1564
Phone (888) 800-5761

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1003061029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641564",
            "telephone_number": "888-800-5761",
            "fax_number": "818-530-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641564",
            "telephone_number": "888-800-5761",
            "fax_number": "818-530-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "WELANETZ-BURSIN",
        "authorized_official_first_name": "LEXI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-800-5761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.