Provider Demographics
NPI: | 1841576600 |
---|---|
Name: | PROJECT BY PROJECT |
Entity Type: | Organization |
Organization Name: | PROJECT BY PROJECT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PSYCHOLOGIST/OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SHERYL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MONAUGHAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 310-313-0999 |
Mailing Address - Street 1: | 10736 JEFFERSON BLVD # 505 |
Mailing Address - Street 2: | |
Mailing Address - City: | CULVER CITY |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 90230-4933 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 310-313-0999 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 10736 JEFFERSON BLVD # 505 |
Practice Address - Street 2: | |
Practice Address - City: | CULVER CITY |
Practice Address - State: | CA |
Practice Address - Zip Code: | 90230-4933 |
Practice Address - Country: | US |
Practice Address - Phone: | 310-313-0999 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-10-25 |
Last Update Date: | 2011-10-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | PSY24494 | 102L00000X, 103K00000X, 103T00000X, 103TA0400X, 103TA0700X, 103TB0200X, 103TC0700X, 103TC1900X, 103TE1100X, 103TF0000X, 103TH0004X, 103TM1800X, 103TP2701X, 103TR0400X, 103TS0200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | Group - Multi-Specialty | |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
No | 103TE1100X | Behavioral Health & Social Service Providers | Psychologist | Exercise & Sports | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | Health | Group - Multi-Specialty |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation | Group - Multi-Specialty |
No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School | Group - Multi-Specialty |