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General NPI Number Information
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NPI Number | 1932082641
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Entity Type | Organization
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Legal Business Name | CLEARMIND PSYCHOLOGICAL SERVICES, INC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6310 SAN VICENTE BLVD STE 360
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City | LOS ANGELES
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State | CA
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Zip | 90048-5448
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Country | US
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Telephone | 310-944-7478
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 SAN VICENTE BLVD STE 360
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City | LOS ANGELES
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State | CA
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Zip | 90048-5448
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Country | US
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Telephone | 310-944-7478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELONY COHEN-GABAI
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Credential | PSY.D.
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Telephone | 310-944-7478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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