Erica Krakovitz, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94025098 Issued in CA

Practice address

9350 Wilshire Blvd Ste 212
Beverly Hills, CA 90212-3204

Phone

(310) 271-2275

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

No

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 Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Paula E. Bruce, PH.D. & Associates, a Psychological Corporation

  dba PBA Psychology Group, Inc.

  • Clinical Psychologist
  • Beverly Hills, CA
  • NPI 1366962581
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1780274597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 WILSHIRE BLVD STE 212",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123204",
            "telephone_number": "310-271-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 WILSHIRE BLVD STE 212",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123204",
            "telephone_number": "310-271-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOVITZ",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94025098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stephanie Koval, RPA-C
• Bunrith Koy, D.O.
• Lynn Koza, PH.D.
• Larry Allen Kozek, DDS
• Ekaterina (Kate) Kozlova
• Marc S Kramer, D.C.
• Rachel J Kramer, M.D.
• Evan Paul Kransdorf, MD
• David Krasnow, OD, MPH, MBA
• Marcel Kraus, ASSOCIATE MFT

• Clinical Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.