Courtney Sykes, L9695

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9695 Issued in CA

Practice address

61 Lakewood Center Mall # 36
Lakewood, CA 90712-2417

Phone

(626) 714-9608

Fax

(562) 337-3119

NPI assigned

Apr 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Los Angeles Centers for Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1225448640
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1316409493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LAKEWOOD CENTER MALL # 36",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122417",
            "telephone_number": "626-714-9608",
            "fax_number": "562-337-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LAKEWOOD CENTER MALL # 36",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122417",
            "telephone_number": "626-714-9608",
            "fax_number": "562-337-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 E 3rd St Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131629",
            "country_code": "US",
            "telephone_number": "562-341-2804",
            "fax_number": "213-626-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "COURTNEY",
        "credential": "L9695",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny'S Behavior Services, Inc
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• Constantine Svimonoff Jr., MD
• Christopher Sweet
• Mark Quieng Sy, RPT
• Christina Nicole Szlanta
• Nadia Szynarowski
• Phuong Ta
• Tagaloa-Tulifau Foot and Ankle Center, Inc.
• Mafutaga S. Tagaloa-Tulifau, D.P.M.

• Specialist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.