Organization Active NPI

Peace From Within Therapy Inc

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1801351085
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PEACE FROM WITHIN THERAPY INC
Practice address
6311 Romaine St Ste 7329
Los Angeles, CA 90038-2617
Phone
(323) 547-2186
NPI assigned
Feb 1, 2019
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Lital Shvarts, PSYDNPI 1457760522
Title
President
Phone
(323) 547-2186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

6311 Romaine St Ste 7329
Los Angeles, CA 90038-2617

Mailing address

6311 Romaine St Ste 7329
Los Angeles, CA 90038-2617
Phone (323) 547-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200317002698 CA Part B Supplier - Clinic/Group Practice 9436587896 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

6311 Romaine St
Ste 7329
Los Angeles, CA 90038
Phone (323) 300-4321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1801351085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 ROMAINE ST STE 7329",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900382617",
            "telephone_number": "323-547-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 ROMAINE ST STE 7329",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900382617",
            "telephone_number": "323-547-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE FROM WITHIN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "SHVARTS",
        "authorized_official_first_name": "LITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-547-2186",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.