Michael Robert Mollura, PHD
Individual provider Active NPI Clinical Psychologist · Hollywood, CA
NPI 1457723223 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1457723223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 30873 (CA)
- Practice address
- 1800 Vine St
Hollywood, CA 90028-5250 - Phone
- (213) 280-9635
- NPI assigned
- Oct 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- 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
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25831 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R Mollura PH.D. Psychologist Inc., a Professional Corporation | Clinical | Current |
Accepting new patients |
Locations
9730 Wilshire Blvd
Ste 216
Beverly Hills, CA 90212
Phone (310) 740-9534
1800 Vine St
Los Angeles, CA 90028
Phone (213) 280-9625
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY25831 | CA | |
| Clinical Psychologist | 103TC0700X | 30873 | CA | Yes |
Addresses
Primary practice location
1800 Vine St
Hollywood, CA 90028-5250
Mailing address
1800 Vine St
Hollywood, CA 90028-5250
Phone (213) 280-9635
Other providers in Hollywood, CA
- Loren Ashley Messina
- Bonnie W Meyerson
- Michael R Mollura PH.D. Psychologist Inc., a Professional Corporation
- Mind and Body Healing
- Mission City Community Network, Inc.
- Matthew Zeno Moon
- Mithra Moon
- Patrick L Mullens
- Sarah Catherine Neal
- Lori Netzen
All providers in Hollywood, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.