Individual provider Active NPI

Viannae Carmona Nelkin, PSYD, BCABA

  • Clinical Neuropsychologist
  • Los Angeles, CA
National Provider Identifier
1104365873
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35541 Issued in CA
Practice address
444 S San Vicente Blvd Ste 103
Los Angeles, CA 90048-4169
Phone
(310) 423-9722
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-14-6039 CA
Clinical Neuropsychologist 103G00000X 35541 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd Ste 103
Los Angeles, CA 90048-4169

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

2070 Century Park E # P456
Los Angeles, CA 90067-1907
Phone (424) 522-7141

Other practice location 2

8700 Beverly Blvd # 7409
West Hollywood, CA 90048-1804
Phone (310) 423-9722

Other practice location 3

930 S Robertson Blvd Ste B
Los Angeles, CA 90035-1642
Phone (424) 274-0507

Other names 1

  • Viannae Carmona 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
I20260318000924 CA Practitioner - Clinical Psychologist 5395229371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4140 W 190TH St
Torrance, CA 90504-5513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35541CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince Feb 4, 2026 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Feb 4, 2026 Accepting new patients

Locations

444 S San Vicente Blvd
Los Angeles, CA 90048
Phone (213) 637-3700

2070 Century Park E
#P456
Los Angeles, CA 90067
Phone (424) 522-7141

2070 Century Park E
Los Angeles, CA 90067
Phone (310) 772-4100

444 S San Vicente Blvd
Ste 103
Los Angeles, CA 90048
Phone (310) 423-9722

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
#7409
West Hollywood, CA 90048
Phone (310) 423-9722

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

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.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1104365873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484169",
            "telephone_number": "310-423-9722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Century Park E # P456",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900671907",
            "country_code": "US",
            "telephone_number": "424-522-7141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd # 7409",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-9722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 S Robertson Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900351642",
            "country_code": "US",
            "telephone_number": "424-274-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELKIN",
        "first_name": "VIANNAE",
        "middle_name": "CARMONA",
        "credential": "PSYD, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-14-6039",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "35541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIANNAE",
            "last_name": "CARMONA",
            "credential": "BCABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.