Michael Robert Mollura, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30873 Issued in CA

Practice address

1800 Vine St
Hollywood, CA 90028-5250

Phone

(213) 280-9635

NPI assigned

Oct 20, 2015

Last updated

May 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Michael R Mollura PH.D. Psychologist Inc., a Professional Corporation

  • Clinical Psychologist
  • Hollywood, CA
  • NPI 1386339422
  NPD Authorized official

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1457723223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 VINE ST",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900285250",
            "telephone_number": "213-280-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VINE ST",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900285250",
            "telephone_number": "213-280-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLURA",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-20",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25831",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Met One Health RX
• Bonnie W Meyerson, LCSW
• Michael R Mollura PH.D. Psychologist Inc., a Professional Corporation
• Mind and Body Healing
• Mission City Community Network, Inc.
• Matthew Zeno Moon
• Mithra Moon, PA
• Patrick L Mullens, MD
• Sarah Catherine Neal, MFTI
• Lori Netzen, CMF

• Clinical Psychologist in Hollywood, CA
• Providers in Hollywood, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.