Courage to Change, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21760 Issued in CA

Legal business name

COURAGE TO CHANGE, INC.

Practice address

3231 Ocean Park Blvd
Suite 201
Santa Monica, CA 90405-3221

Phone

(310) 664-0454

Fax

(310) 559-8743

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tracy R Zemansky, PH.D.

Title

Clinical Psychologist

Phone

(310) 664-0454

Specialties & licenses 2

Addresses

Other names 1

• Tracy R. Zemansky, Ph.D. Former legal business name

Tax ID family

Courage to Change - a Marriage and Family Counseling Corportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Courage to Change - a Marriage and Family Counseling Corportation

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1952575631
  NPD tax ID

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1265706451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 OCEAN PARK BLVD",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053221",
            "telephone_number": "310-664-0454",
            "fax_number": "310-559-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 OCEAN PARK BLVD",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053221",
            "telephone_number": "310-664-0454",
            "fax_number": "310-559-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "ZEMANSKY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-664-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21760",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC31536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy R. Zemansky, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Edward S Cotner, MD
• Megan Coulter, LCSW
• Counseling Center of Santa Monica - a Psychological Corporation
• County of Los Angeles
• Courage to Change - a Marriage and Family Counseling Corportation
• Sarah Ramsey Court
• Courtney Mizuhara-Cheng, D.O., M.S.H.S., Inc.
• Brittany Nicole Couture
• Jeff Cowan, MA, LMFT
• James W. Cowman, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.