Provider Demographics
NPI: | 1871844787 |
---|---|
Name: | MINDY WERNER-CROHN, M.D., INC, |
Entity Type: | Organization |
Organization Name: | MINDY WERNER-CROHN, M.D., INC, |
Other - Org Name: | CALABASAS BEHAVIOR HEALTH |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | MINDY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WERNER-CROHN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 818-917-3456 |
Mailing Address - Street 1: | 23371 MULHOLLAND DR |
Mailing Address - Street 2: | #325 |
Mailing Address - City: | WOODLAND HILLS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91364-2734 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-917-3456 |
Mailing Address - Fax: | 877-917-3450 |
Practice Address - Street 1: | 23622 CALABASAS RD |
Practice Address - Street 2: | #301 |
Practice Address - City: | CALABASAS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91302-1549 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-917-3456 |
Practice Address - Fax: | 877-917-3450 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-10-02 |
Last Update Date: | 2012-10-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | Group - Multi-Specialty |
No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | Group - Multi-Specialty | |
No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 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 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 2084B0040X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Behavioral Neurology & Neuropsychiatry | Group - Multi-Specialty |