Silver Lake Psychology Inc.
Organization Active NPI Psychologist · Los Angeles, CA
NPI 1932651817 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1932651817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 22512 (CA)
- Legal business name
- SILVER LAKE PSYCHOLOGY INC.
- Practice address
- 4325 W Sunset Blvd
206
Los Angeles, CA 90029-2174 - Phone
- (310) 388-7983
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Brandy Dunn, PSYD
- Title
- Ceo
- Phone
- (310) 388-7983
Practitioners 142
-
Cindy Baracchini, LMFT
-
Peggy Ann Barrett, LMFT
-
Jenny Friend, MFT
-
Sydney Pranitis, PSY.D.
-
Stephen Michael Fox, LMFT
-
Amanda L Geiger, PCC
-
Vanessa Hernandez, MFT INTERN
-
Eileen Lake, MFT LICENSE # 41076
-
Clare Lewis, PT
-
Mallory L Moon, PSY.D.
-
Sara Stevens, LMFT
-
Kerri Ann Freeman, LMFT
-
Tabetha Denise Garcia, M.S.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190524000695 | CA | Part B Supplier - Clinic/Group Practice | 7012250582 |
Receives reassigned benefits from 105 practitioners Practice locations: Los Angeles, CA |
| O20251025000289 | VA | Part B Supplier - Clinic/Group Practice | 7012250582 |
Receives reassigned benefits from 1 practitioner Practice locations: Virginia Beach, VA |
National Provider Directory
Locations
2301 Hyperion Ave
Los Angeles, CA 90027
Phone (310) 388-7983
2301 Hyperion Ave
#A
Los Angeles, CA 90027
Phone (310) 726-3890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 22512 | CA | Yes |
Addresses
Primary practice location
4325 W Sunset Blvd
206
Los Angeles, CA 90029-2174
Mailing address
4325 W Sunset Blvd
206
Los Angeles, CA 90029-2174
Phone (310) 388-7983
Other providers in Los Angeles, CA
- Silver Brooks Enterprises Inc
- Silver DME Inc
- Silver Hills Home Care Inc.
- Silver Lake Adult Day Care Inc.
- Silver Lake Medical Center
- Silver Lake Psychotherapy PC
- Silver Medical Transportation, Inc
- Silver Screen Senior Care LLC
- Silver Star Home Health, Inc
- Sandy Silver Stutman
All providers in Los Angeles, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.