Provider Demographics
NPI:1356768386
Name:CALABASAS TMS CENTER, INC.
Entity type:Organization
Organization Name:CALABASAS TMS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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 1:23622 CALABASAS RD
Mailing Address - Street 2:#301
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1549
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:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG538272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty