Westside Therapy Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WESTSIDE THERAPY SERVICES

Practice address

4712 Admiralty Way # 964
Marina del Rey, CA 90292-6905

Phone

(310) 634-7277

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelli Lilit Gasparian, CEO

Title

Ceo

Phone

(818) 643-4343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1538821517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY # 964",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-634-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY # 964",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-634-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "GASPARIAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_middle_name": "LILIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-643-4343",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Ryan MD PC
• Sandie West, LMT
• Western Diagnostic & Therapeutic Radiology Medical Group, Inc. (Western Radiologic Medical Group)
• Western Imaging Marina del Rey Inc
• Western Imaging, Marina del Rey
• Emily Whalen, D.P.T.
• La Creasure White, NP-C
• Erin V Wigger, LMFT
• Gary Dewayne Wiley Jr., PA-C
• Samantha Wilhelm, MS, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.