Lani Ackerman-Kalla, PH.D
Individual provider Active NPI Clinical Psychologist · Santa Monica, CA
NPI 1699980656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699980656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY12254 (CA)
- Practice address
- 3201 Wilshire Blvd
Suite 310
Santa Monica, CA 90403-2344 - Phone
- (310) 998-5583
- Fax
- (310) 998-5582
- NPI assigned
- May 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12254 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12254 | CA | Yes |
Addresses
Primary practice location
3201 Wilshire Blvd
Suite 310
Santa Monica, CA 90403-2344
Mailing address
3201 Wilshire Blvd
Suite 310
Santa Monica, CA 90403-2344
Phone (310) 998-5583
Other names
- Dr. Lani M Ackerman
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All providers in Santa Monica, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.