Psychological Care and Healing Treatment Center

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER

Practice address

11965 Venice Blvd
Suite 407
Los Angeles, CA 90066-3979

Phone

(310) 566-7625

Fax

(310) 566-7629

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Jeffery Ball, PHD

Title

Executive and Clinical Director

Phone

(310) 571-8040

Specialties & licenses 1

Addresses

Other names 1

• PCH Treatment Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1003135906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE 407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-566-7625",
            "fax_number": "310-566-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD",
            "address_2": "SUITE 407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-566-7625",
            "fax_number": "310-566-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "EXECUTIVE AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-571-8040",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason J Prystowsky, MD
• PS Health Corporation
• Psi Health Partners PC
• Kari Psomas
• Psychiatrists Global Training Network
• Psychology and Health Today Corporation
• Psychotherapy & Psychoeducational Assessments
• Psychotherapy Center for Healing & Personal Growth Inc.
• Psychotherapy Center for Healing and Personal Growth
• Psychotherapy Works, Inc.

• Group Psychotherapy Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Group Psychotherapy Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.