Provider Demographics
NPI:1225164148
Name:LANDON, HELEN ZIELINSKI (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ZIELINSKI
Last Name:LANDON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:ZIELINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1421 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1748
Mailing Address - Country:US
Mailing Address - Phone:310-393-8783
Mailing Address - Fax:
Practice Address - Street 1:1421 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1748
Practice Address - Country:US
Practice Address - Phone:310-393-8783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15876101YM0800X, 103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP15876Medicare ID - Type UnspecifiedMEDICARE