Emmada Institute of Behavioral Health & Wellness

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EMMADA INSTITUTE OF BEHAVIORAL HEALTH & WELLNESS

Practice address

8939 S Sepulveda Blvd Ste 200
Los Angeles, CA 90045-3667

Phone

(866) 863-4645

Fax

(866) 863-4824

NPI assigned

Feb 15, 2023

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, PHDNPI 1578619417

Title

Executive Director

Phone

(424) 355-8717

Specialties & licenses 1

Addresses

Other names 2

• The Emmada Institute of Behavioral Health & Wellness Doing business as
• The Emmada Institute of Behavioral Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Rickey Williamson, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1578619417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1992402416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453667",
            "telephone_number": "855-255-9366",
            "fax_number": "855-336-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453667",
            "telephone_number": "866-863-4645",
            "fax_number": "866-863-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 E Colorado Blvd Ste 635",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911012032",
            "country_code": "US",
            "telephone_number": "855-255-9366",
            "fax_number": "855-336-3013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9317 S Budlong Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900441908",
            "country_code": "US",
            "telephone_number": "855-255-9366",
            "fax_number": "855-336-3013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Crenshaw Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900431200",
            "country_code": "US",
            "telephone_number": "855-255-9366",
            "fax_number": "855-336-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMMADA INSTITUTE OF BEHAVIORAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "424-355-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Emmada Institute of Behavioral Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Emmada Institute of Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eminence Home Health Care, Inc.
• Aida Eminian, PHARM.D.
• Emma Bogdanoff, MFT
• Emma Vinarsky MD Professional Corporation
• Nabil Emmad, M.D.
• Emmada Psychology Center
• Emmada Psychology Center, Inc.
• Christos Emmanouel Emmanouilides, MD
• Evdoxia Emmanouilidou
• Emmanuel Medical Supply & Equipment Provider

• 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 Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.