NPIMap

Organization Active NPI

Leah Ellenberg, PH.D. and Associates

  • Clinical Neuropsychologist
  • Beverly Hills, CA
National Provider Identifier
1518287804
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY 5970 Issued in CA
Legal business name
LEAH ELLENBERG, PH.D. AND ASSOCIATES
Practice address
9401 Wilshire Blvd
Suite 730
Beverly Hills, CA 90212-2928
Phone
(310) 273-2701
Fax
(310) 273-1127
NPI assigned
Jun 9, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Leah Ellenberg, PH.D.NPI 1932312931
Title
President
Phone
(310) 273-2701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY 5970 CA Primary

Addresses

Primary practice location

9401 Wilshire Blvd
Suite 730
Beverly Hills, CA 90212-2928

Mailing address

9401 Wilshire Blvd
Suite 730
Beverly Hills, CA 90212-2928
Phone (310) 273-2701

National Provider Directory

National Provider Directory

Locations

9401 Wilshire Blvd
Ste 730
Beverly Hills, CA 90212
Phone (310) 273-3060

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1518287804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "SUITE 730",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-273-2701",
            "fax_number": "310-273-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 WILSHIRE BLVD",
            "address_2": "SUITE 730",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122928",
            "telephone_number": "310-273-2701",
            "fax_number": "310-273-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH ELLENBERG, PH.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "ELLENBERG",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-273-2701",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 5970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.