Westside Neurotherapeutics, LLC.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY17275 Issued in CA

Legal business name

WESTSIDE NEUROTHERAPEUTICS, LLC.

Practice address

10850 Wilshire Blvd
1260
Los Angeles, CA 90024-4305

Phone

(310) 946-0008

Fax

(310) 209-0444

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Vapnik, PH.D.

Title

President

Phone

(310) 946-0008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1114355237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD",
            "address_2": "1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244305",
            "telephone_number": "310-946-0008",
            "fax_number": "310-209-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD",
            "address_2": "1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244305",
            "telephone_number": "310-946-0008",
            "fax_number": "310-209-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE NEUROTHERAPEUTICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "VAPNIK",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-946-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY17275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Medical Center Inc
• Westside Medical Pharmacy Corp
• Westside Multi-Specialty Medical Group, Inc.
• Westside Multispecialty Surgery Center, LP
• Westside Neurotherapeutics Inc
• Westside Occupational Therapy Inc
• Westside Pediatrics, Inc.
• Westside Pharmacy Corporation
• Westside Psych, a Group Psychology Practice
• Westside Radiology & Dianostic Services, LLC.

• Cognitive & Behavioral Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.