Counseling Center of Santa Monica - a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 15091 Issued in CA

Legal business name

COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION

Practice address

1321 9TH St
Santa Monica, CA 90401-1803

Phone

(310) 477-6000

Fax

(310) 477-0327

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reuben Vaisman-Tzachor, PH.D.

Title

President - Owner

Phone

(310) 477-6000

Specialties & licenses 12

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Layla Jillood, PSYD

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1770798654
  NPD (past)
• Karen M Stewart, PSY. D

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1952542136
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1245394121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 9TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011803",
            "telephone_number": "310-477-6000",
            "fax_number": "310-477-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 9TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011803",
            "telephone_number": "310-477-6000",
            "fax_number": "310-477-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "VAISMAN-TZACHOR",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "310-477-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 15091",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY 15091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Patrick Coss, MD
• Sofia Costa, PT, DPT
• Michael A Costine, PA-C
• Edward S Cotner, MD
• Megan Coulter, LCSW
• County of Los Angeles
• Courage to Change - a Marriage and Family Counseling Corportation
• Courage to Change, Inc.
• Sarah Ramsey Court
• Courtney Mizuhara-Cheng, D.O., M.S.H.S., Inc.

• Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.