Westside Counseling Center

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

Organization subpart

No

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

Authorized official

Name

Deborah Matian Shoham, PH.D.

Title

Owner

Phone

(424) 341-2104

Specialties & licenses 1

Addresses

Locations

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": []
}

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• 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 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.