Individual provider Active NPI

Berta Sklansky, MSW LCSW

  • Psychologist
  • Culver City, CA
National Provider Identifier
1093848871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LCS12855 Issued in CA
Practice address
5001 Showboat Place
Culver City, CA 90230-4468
Phone
(310) 558-3044
Fax
(310) 558-3044
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LCS12855 CA Primary

Addresses

Primary practice location

5001 Showboat Place
Culver City, CA 90230-4468

Mailing address

5001 Showboat Place
Culver City, CA 90230-4468
Phone (310) 558-3044

Other names 1

  • Berta Riskina Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000073 CA Practitioner - Clinical Social Worker 3476697228 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 S Barrington Ave
Suite 307
Los Angeles, CA 90025-5379
Phone (310) 558-3044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12855CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin V Cohen Psychological Counseling Corp Psychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093848871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SHOWBOAT PLACE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304468",
            "telephone_number": "310-558-3044",
            "fax_number": "310-558-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SHOWBOAT PLACE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304468",
            "telephone_number": "310-558-3044",
            "fax_number": "310-558-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLANSKY",
        "first_name": "BERTA",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LCS12855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERTA",
            "last_name": "RISKINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.