MEDICARE: MINDFUL FOCUSED THERAPY- A PSYCHOLOGICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY26632	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB226319	OTHER	CA	MEDICARE ID

General Provider Information

NPI Number	:	1285184838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL FOCUSED THERAPY- A PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	13351 RIVERSIDE DR # 581D
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2542
Country	:	US
Telephone Number	:	818-275-1207
Fax Number	:	855-276-4211

Provider Business Practice Location Address
First Line	:	13351 RIVERSIDE DR # 581D
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2542
Country	:	US
Telephone Number	:	818-275-1207
Fax Number	:	855-276-4211

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. ANA L OCHOA
Credential	:	PSYD
Telephone Number	:	818-275-1207

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	03/25/2025

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Directions to “MINDFUL FOCUSED THERAPY- A PSYCHOLOGICAL CORPORATION ” Practice Location

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