Emmada Psychology Center, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20072 Issued in CA

Legal business name

EMMADA PSYCHOLOGY CENTER, INC.

Practice address

8939 S Sepulveda Blvd
Suite #200
Los Angeles, CA 90045-3631

Phone

(310) 903-0840

NPI assigned

Jan 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rickey Williamson, PHD

Title

President

Phone

(866) 863-4645

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melba Rachel Mathew

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1376167361
  NPD (past)

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1891032652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 211",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012028",
            "telephone_number": "866-863-4645",
            "fax_number": "866-863-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD",
            "address_2": "SUITE #200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453631",
            "telephone_number": "310-903-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 E Colorado Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012028",
            "country_code": "US",
            "telephone_number": "866-863-4645 x101",
            "fax_number": "866-863-4824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMMADA PSYCHOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-863-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "21442",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23098",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20072",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "24532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Bogdanoff, MFT
• Emma Vinarsky MD Professional Corporation
• Nabil Emmad, M.D.
• Emmada Institute of Behavioral Health & Wellness
• Emmada Psychology Center
• Christos Emmanouel Emmanouilides, MD
• Evdoxia Emmanouilidou
• Emmanuel Medical Supply & Equipment Provider
• Emmanuel Mojtahedian, M.D., Inc.
• Vida Emmanuel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.