Provider Demographics
NPI:1619020278
Name:ZUSMAN & ROSENFELD PARTNERS
Entity Type:Organization
Organization Name:ZUSMAN & ROSENFELD PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZUSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-986-4656
Mailing Address - Street 1:15720 VENTURA BLVD
Mailing Address - Street 2:SUITE #602A
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2914
Mailing Address - Country:US
Mailing Address - Phone:818-986-4656
Mailing Address - Fax:818-986-0559
Practice Address - Street 1:15720 VENTURA BLVD
Practice Address - Street 2:SUITE #602A
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2914
Practice Address - Country:US
Practice Address - Phone:818-986-4656
Practice Address - Fax:818-986-0559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4474103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP4474AMedicare ID - Type UnspecifiedCLINICAL PSYCHOLOGIST