GINA O'LEARY KIRKLAND POLESETSKY
Marriage & Family Therapist

Address: 11980 San Vicente Blvd Ste 909, Los Angeles, CA 90049-6607

GINA O'LEARY KIRKLAND POLESETSKY (NPI# 1023698347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023698347
Entity Type Individual
Full Name GINA O'LEARY KIRKLAND POLESETSKY
Gender Female
Credential AMFT
Practice Address 11980 San Vicente Blvd Ste 909
Los Angeles
CA 90049-6607
Practice Telephone 3233626468
Mailing Address 3705 W Pico Blvd # 1818
Los Angeles
CA 90019-3451
Mailing Telephone 3233626468
Certification Date 2021-03-28
Enumeration Date 2021-04-11
Last Update Date 2021-04-11
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 106H00000X Marriage & Family Therapist 12425 CA Behavioral Health & Social Service Providers

Office Location

Street Address 11980 SAN VICENTE BLVD STE 909
City LOS ANGELES
State CA
Zip Code 90049-6607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063000552 Zari Hedayat Marriage & Family Therapist 11980 San Vicente Blvd Ste 909, Los Angeles, CA 90049-6607 2021-01-09
1992309843 Lauren Blalock Bochner · Lauren Blalock Counselor - Mental Health 11980 San Vicente Blvd Ste 909, Los Angeles, CA 90049-6607 2020-11-22
1366065617 Melissa Klass Marriage & Family Therapist 11980 San Vicente Blvd Ste 909, Los Angeles, CA 90049-6607 2020-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740784982 Irine Sims-Komatsu · Irine P Sims Dentist - General Practice 11980 San Vicente Blvd Ste 906, Los Angeles, CA 90049-6607 2018-03-22
1568813087 Claudia Lenore Chandler Marriage & Family Therapist 11980 San Vicente Blvd Ste 900, Los Angeles, CA 90049-6607 2016-06-27
1013337781 Eric Rosoff Psychiatry & Neurology - Psychiatry 11980 San Vicente Blvd Ste 910, Los Angeles, CA 90049-6607 2014-04-22
1265766174 Michael Eilenberg Dentist - General Practice 11980 San Vicente Blvd Ste 901, Los Angeles, CA 90049-6607 2009-09-24
1174703839 Patrick T. Bezdek M.d., Inc. Clinic/Center - Adult Mental Health 11980 San Vicente Blvd Ste 904, Los Angeles, CA 90049-6607 2007-11-10
1245847201 Ootify Plus Health Group, Inc Psychologist - Counseling 11980 San Vicente Blvd Ste 910, Los Angeles, CA 90049-6607 2020-09-24
1316595218 Ijeoma C. Igwe, D.d.s., PC Dentist - General Practice 11980 San Vicente Blvd Ste 901, Los Angeles, CA 90049-6607 2019-09-04
1013437953 Margaret Anne Hunt · Margaret Anne Tartter Psychologist - Clinical 11980 San Vicente Blvd Ste 910, Los Angeles, CA 90049-6607 2017-06-21
1760528525 Mary Vivianne Shannon Dentist - Pediatric Dentistry 11980 San Vicente Blvd Ste 906, Los Angeles, CA 90049-6607 2007-01-29

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1316564339 Kepp Family & Group Practice Marriage & Family Therapist 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 2020-06-26
1386204493 Steven J Lehrman Marriage & Family Therapist 179 S. Barrington Place, Office A, Los Angeles, CA 90049 2019-06-20
1922562990 Jand. Inc. Eyewear Supplier (Equipment, not the service) 860 S. Sepulveda Blvd., Los Angeles, CA 90049 2019-01-24
1851864946 Christie Schnur Marriage & Family Therapist 11911 San Vicente Blvd., Los Angeles, CA 90049 2019-01-10
1669954012 Barbara Jiji Schenk Marriage & Family Therapist 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 2018-09-02
1972090710 Community Reflections Inc Counselor 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 2018-04-17
1245738830 Dr. Shirin Tabib LLC Marriage & Family Therapist 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 2018-01-29
1295240679 Robert A Brooks Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine 149 South Barrington Ave, #346, Los Angeles, CA 90049 2017-12-07
1942839097 Rebecca Lindsey Moss Occupational Therapist 2115 Ridge Dr, Los Angeles, CA 90049-1153 2020-04-01
1386254985 Christina Foucault Crowe Speech-Language Pathologist 823 Teakwood Rd, Los Angeles, CA 90049-1329 2020-08-07
Find all providers in zip 90049

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871173070 Alexander Thomas Uhlmann Marriage & Family Therapist 5730 Cazaux Dr, Los Angeles, CA 90068-2432 2021-04-12
1790364073 Oh Marriage & Family Therapy Corp Marriage & Family Therapist 11710 San Vicente Blvd, Los Angeles, CA 90049-5006 2021-04-05
1154900587 Jessica Maria Hicks Marriage & Family Therapist 3936 Berryman Ave, Los Angeles, CA 90066-5016 2021-04-04
1043899578 Leah Smith Marriage & Family Therapist 5059 Lynnfield St, Los Angeles, CA 90032-2835 2021-04-02
1598343493 Gwen's House Marriage and Family Therapy, Inc. Marriage & Family Therapist 7190 W Sunset Blvd # 62d, Los Angeles, CA 90046-4415 2021-03-31
1275119885 Jeannette Lopez Marriage & Family Therapist 1051 S Wooster St Apt 6, Los Angeles, CA 90035-1548 2021-03-23
1881270197 Traci Terrill Marriage & Family Therapist 1759 N Easterly Ter, Los Angeles, CA 90026-1312 2021-03-18
1134705361 Beatrice Marika Schreiber Marriage & Family Therapist 11740 Darlington Ave Apt 1, Los Angeles, CA 90049-5566 2021-03-18
1821673740 Gina Deutsch-Zakarin Marriage & Family Therapist 12921 Evanston St, Los Angeles, CA 90049-3714 2021-03-11
1871178871 Erin Marissa Ruder Marriage & Family Therapist 1251 Westwood Blvd Ste 200, Los Angeles, CA 90024-4811 2021-03-11
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90049

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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