Rebecca Elizabeth Eberlin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

11400 W Olympic Blvd
Suite 200
Los Angeles, CA 90064-1550

Phone

(424) 231-5705

NPI assigned

Sep 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Elizabeth Brackett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1790970655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641550",
            "telephone_number": "424-231-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641550",
            "telephone_number": "424-231-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLIN",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BRACKETT",
            "middle_name": "ELIZABETH",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay Takara Ebata
• Kristin Marie Ebbert, L.AC.
• Ashlyn Etelle Ebel, RN
• Grace Ebenuwa
• Leslie M Eber, MD
• Dawn Naomi Yoshioka Eberly, D.C., L.AC
• Amanda Ebersberger, MA
• Jocelyne Eberstein, LAC
• Allison Ebert, DPT
• Chad Kiyoshi Ebesutani

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.