Courage to Change - a Marriage and Family Counseling Corportation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21760 Issued in CA

Legal business name

COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION

Practice address

3331 Ocean Park Blvd
Suite 100
Santa Monica, CA 90405-3216

Phone

(310) 664-0454

Fax

(310) 553-8743

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tracy R Zemansky, PSY

Title

Clinical Psychologist, Principal

Phone

(310) 664-0454

Specialties & licenses 1

Addresses

Other names 1

• Courage to Change, Inc. Other name

Tax ID family

Courage to Change - a Marriage and Family Counseling Corportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Courage to Change, Inc.

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1265706451
  NPD tax ID

Locations

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1952575631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 OCEAN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053216",
            "telephone_number": "310-664-0454",
            "fax_number": "310-553-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 OCEAN PARK BLVD",
            "address_2": "SUITE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053216",
            "telephone_number": "310-664-0454",
            "fax_number": "310-553-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE - A MARRIAGE AND FAMILY COUNSELING CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ZEMANSKY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, PRINCIPAL",
        "authorized_official_telephone_number": "310-664-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courage to Change, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael A Costine, PA-C
• Edward S Cotner, MD
• Megan Coulter, LCSW
• Counseling Center of Santa Monica - a Psychological Corporation
• County of Los Angeles
• Courage to Change, Inc.
• Sarah Ramsey Court
• Courtney Mizuhara-Cheng, D.O., M.S.H.S., Inc.
• Brittany Nicole Couture
• Jeff Cowan, MA, LMFT

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.