Wavemind Clinic
LBN: Wavemind Inc, A Psychology Corporation
Wavemind Clinic is an health care organization with primary practice located at 1849 Sawtelle Blvd Ste 610 , Los Angeles CA 90025-7013. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty.
Wavemind Inc, A Psychology Corporation can be contacted via phone (914) 275-5578, or through Cornacchio, Danielle via phone (914) 275-5578.
Contact Information
Primary practice address
1849 Sawtelle Blvd Ste 610
Los Angeles CA 90025-7013
Phone: (914) 275-5578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1710579826 |
|---|---|
| LBN Legal business name | Wavemind Inc, A Psychology Corporation |
| DBA Doing business as | Wavemind Clinic |
| Authorized official | Cornacchio, Danielle PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2021 |
| Last updated | May 19th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710579826 | NPPES |
| California | Other | 1528093820 | DR. RONNIE LINDSEY BERGMAN |
| California | Other | 1396486023 | DR. RONNIE LINDSEY BERGMAN |
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