Marylouise None Barros-Niska, MFCC AND PH.D
Individual provider Active NPI Clinical Psychologist · Rolling Hills Estates, CA
NPI 1013095629 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1013095629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY17723 (CA)
- Practice address
- 707 Silver Spur Rd
Ste 101
Rolling Hills Estates, CA 90274-7612 - Phone
- (213) 485-3300
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17723 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY17723 | CA | Yes |
Addresses
Primary practice location
707 Silver Spur Rd
Ste 101
Rolling Hills Estates, CA 90274-7612
Mailing address
1034 W.14TH Street
San Pedro, CA 90731
Phone (213) 485-3300
Other providers in Rolling Hills Estates, CA
- Hendrik Baars
- Hovsep Robert Babayan
- Stephanie Paola Baker
- Mary Ellen Barnes
- Norma Barretta
- Bassi Psychological Services
- Hiva Bastanmehr
- Beach Cities Gateway
- Tiffany Merrill Becker
- Kellie Benoy
All providers in Rolling Hills Estates, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.