Active NPI
Michelle S Bilotta-Smith, PSY.D, LMFT
- Psychologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 24756
- Practice address
- 1200 Wilshire Blvd Ste 210
Los Angeles, CA 90017-1931 - Phone
- (213) 481-1347
- NPI assigned
- Mar 16, 2007
- Last updated
- Feb 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 24756 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC41694 | CA |
Addresses
Primary practice location
1200 Wilshire Blvd Ste 210
Los Angeles, CA 90017-1931
Mailing address
1311 Centinela Ave Apt 8
Santa Monica, CA 90404-2673
Phone (310) 663-6638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24756 | CA | MD | Psychologist |
| MFC41694 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients |
Locations
17707 Studebaker Rd
Cerritos, CA 90703
Phone (562) 402-0688
17707 Studebaker Rd
#150
Cerritos, CA 90703
Phone (310) 402-0688
10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GENESIS Countywide Older Adult Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Psychologist
- Los Angeles, CA
- NPI 1629335054
-
dba Assisted Outpatient Treatment LA
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lomita, CA
- NPI 1538547005
-
dba Arcadia Mental Health Center-Full Service Partnership
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330214400000",
"number": "1386778504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 CENTINELA AVE APT 8",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042673",
"telephone_number": "310-663-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WILSHIRE BLVD STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171931",
"telephone_number": "213-481-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILOTTA-SMITH",
"first_name": "MICHELLE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2012-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 24756",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC41694",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.