Provider Demographics
NPI:1467093591
Name:KAUSHANSKY PSYCHOLOGY, APC
Entity Type:Organization
Organization Name:KAUSHANSKY PSYCHOLOGY, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUSHANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-498-5224
Mailing Address - Street 1:PO BOX 491039
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-9039
Mailing Address - Country:US
Mailing Address - Phone:310-498-5224
Mailing Address - Fax:
Practice Address - Street 1:10850 WILSHIRE BLVD STE 850
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4608
Practice Address - Country:US
Practice Address - Phone:310-498-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health