Active NPI
Catherine Elizabeth Mogil, PSY.D.
- Clinical Psychologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21082
- Practice address
- 760 West Wood Plaza
Los Angeles, CA 90095-8353 - Phone
- (310) 825-9989
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY21082 | CA | Primary |
Addresses
Primary practice location
760 West Wood Plaza
Los Angeles, CA 90095-8353
Mailing address
5767 West Century Blvd.
Suite 200
Los Angeles, CA 90045-5655
Phone (310) 794-3518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 21082 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Medical PLZ
Suite 2200
Los Angeles, CA 90095-6968
Phone (310) 825-9989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY21082 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Clinical | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
760 Westwood Plz
Los Angeles, CA 90095
Phone (310) 829-9989
300 UCLA Medical Plz
Ste 2400
Los Angeles, CA 90095
Phone (310) 267-8008
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1427156454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1093839367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 WEST CENTURY BLVD.",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455655",
"telephone_number": "310-794-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WEST WOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958353",
"telephone_number": "310-825-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGIL",
"first_name": "CATHERINE",
"middle_name": "ELIZABETH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY 21082",
"state": "CA"
}
],
"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 Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.