Ghosts & Angels Psychotherapy for Children & Their Grownups, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GHOSTS & ANGELS PSYCHOTHERAPY FOR CHILDREN & THEIR GROWNUPS, PLLC

Practice address

821 Wilcox Ave Apt 104
Los Angeles, CA 90038-5600

Phone

(360) 930-3624

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Sara Jerome, MSWNPI 1740756998

Title

Sole Owner

Phone

(360) 930-3624

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sara M Jerome

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1740756998
  NPD Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1760269740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WILCOX AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900385600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WILCOX AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900385600",
            "telephone_number": "360-930-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOSTS & ANGELS PSYCHOTHERAPY FOR CHILDREN & THEIR GROWNUPS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "360-930-3624",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nima Ghorbani
• Anamika Ghosh
• Ankona Ghosh, MD
• Durga Ghosh
• Samer Salim Ghostine, M.D.,M.S.
• Askil Sauveur Ghozland, M.D.
• David Ghozland, MD
• Yeva Ghrjyan, PSYD
• Ghurabi Medical Incorporated
• Raffi Joseph Ghurabi, DO

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.