Raphael I Gunner, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19173 Issued in CA

Practice address

2001 S Barrington Ave Ste 202
Los Angeles, CA 90025-5385

Phone

(310) 570-1919

Fax

(310) 914-9124

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Zari S Center for Creative Transformation

  • Psychologist
  • Los Angeles, CA
  • NPI 1942368311
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619993326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 COLBY AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253051",
            "telephone_number": "310-583-8552",
            "fax_number": "310-941-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255385",
            "telephone_number": "310-570-1919",
            "fax_number": "310-914-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNER",
        "first_name": "RAPHAEL",
        "middle_name": "I",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Coranda Gunderson, L.M.F.T.
• Julia M Gunderson, MA, LMFT
• Logan Gunderson, MD
• Joie Zeynep Guner, M.D.
• Michela Faith Gunn, M.D.
• Brooke Gunter
• Janet Gunter, OTD, OTR/L
• Gunther W. Sonnenfeld, MD, Inc.
• Pavani S Guntur, MD
• Jeffrey Gunzenhauser, M.D.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.