Individual provider Active NPI

Anushka Sonia Gokhale

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1467974543
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33499 Issued in CA
Practice address
3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3239
Phone
(310) 488-5850
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 33499 CA Primary

Addresses

Primary practice location

3205 Ocean Park Blvd Ste 250
Santa Monica, CA 90405-3239

Mailing address

10 Bali LN
Pacific Palisades, CA 90272-4640
Phone (908) 268-7531

Other practice location 1

32100 Mulholland Hwy
Malibu, CA 90265-2422
Phone (908) 268-7531

Other practice location 2

505 N Euclid St Ste 300
Anaheim, CA 92801-5514
Phone (714) 871-5646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33499CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Youth Services PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1467974543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BALI LN",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724640",
            "telephone_number": "908-268-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 OCEAN PARK BLVD STE 250",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053239",
            "telephone_number": "310-488-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32100 Mulholland Hwy",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902652422",
            "country_code": "US",
            "telephone_number": "908-268-7531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Euclid St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015514",
            "country_code": "US",
            "telephone_number": "714-871-5646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOKHALE",
        "first_name": "ANUSHKA",
        "middle_name": "SONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.