Lina Suchov a Professional Psychology Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14451 Issued in CA

Legal business name

LINA SUCHOV A PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

16260 Ventura Blvd
Suite Lle 30
Encino, CA 91436-2203

Phone

(818) 385-0336

Fax

(818) 385-1310

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Lina Suchov, PHDNPI 1740384833

Title

Owner

Phone

(818) 385-0336

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Lina Suchov a Professional Psychology Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lina Suchov a Professionalpsychological Corporation

  • Psychologist
  • Encino, CA
  • NPI 1972867281
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lina B. Suchov, PH.D.

  • Psychologist
  • Encino, CA
  • NPI 1740384833
  Medicare reassignment Authorized official
• Troy Fennell, M.D.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1225212566
  NPD (past)
• Michael Gitter, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1487712865
  NPD (past)
• Jordan John Michelena, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1396891057
  NPD (past)
• Timothy Socheta So, PA

  • Physician Assistant
  • Long Beach, CA
  • NPI 1811901960
  NPD (past)
• Sreechandra Kanth Donepudi, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1578686242
  NPD (past)
• Kizhake C Kurian, MD

  • Cardiovascular Disease Physician
  • Palm Coast, FL
  • NPI 1427082486
  NPD (past)

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1588085328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE LLE 30",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "925904927",
            "telephone_number": "818-385-0336",
            "fax_number": "818-385-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE LLE 30",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-385-0336",
            "fax_number": "818-385-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA SUCHOV A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "SUCHOV",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-385-0336",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSY",
            "identifier": "14451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifovum Fertility Managment, LLC
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• Lisa M Limtiaco, O.D.
• Thomas CHI Yeh Lin, DPT
• Vicki Chia Hui Lin
• Lina Suchov a Professionalpsychological Corporation
• Erika Jasmin Linares
• Linda Y Makuta DDS PC
• Nicholas Lindgren, PH.D., BCBA, LBA
• Lisa Shari Lintz, M.D.

• Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.