NPIMap

Organization Active NPI

Westside Counseling Center

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1881243897
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WESTSIDE COUNSELING CENTER
Practice address
11340 W Olympic Blvd Ste 385
Los Angeles, CA 90064-1639
Phone
(424) 341-2104
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Deborah Matian Shoham, PH.D.NPI 1649686858
Title
Owner
Phone
(424) 341-2104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11340 W Olympic Blvd Ste 385
Los Angeles, CA 90064-1639

Mailing address

11340 W Olympic Blvd Ste 385
Los Angeles, CA 90064-1639
Phone (424) 341-2104

National Provider Directory

National Provider Directory

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": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1881243897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 385",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641639",
            "telephone_number": "424-341-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 385",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641639",
            "telephone_number": "424-341-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "SHOHAM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MATIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-341-2104",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 11, 2019; 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.