Westside Wave CBT a Psychological Corporation

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

WESTSIDE WAVE CBT A PSYCHOLOGICAL CORPORATION

Practice address

10323 Santa Monica Blvd Ste 111
Los Angeles, CA 90025-5056

Phone

(310) 701-5103

NPI assigned

Apr 3, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Melanie R Hudson Grogan, PSYDNPI 1912244757

Title

Ceo, Cfo, Secretary

Phone

(310) 701-5103

Specialties & licenses 1

Addresses

Other names 2

• WESTSIDE CBT Former legal business name
• MELANIE R HUDSON PSYD Other name

Practitioners 1

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

• Melanie Rachel Hudson-Grogan, PSYD

  • Psychologist
  • Los Angeles, CA
  • NPI 1912244757
  NPD Authorized official

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1356145684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-701-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-701-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE WAVE CBT A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON GROGAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "310-701-5103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE CBT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MELANIE R HUDSON PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Apr 3, 2025; 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.