MEDICARE: THE NEUROBEHAVIORAL HEALTHCARE CENTER, A PROFESSIONAL PSYCHOLOGICAL CO

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	103G00000X	Clinical Neuropsychologist	PSY21769	CA
2	103G00000X	Clinical Neuropsychologist
3	103T00000X	Psychologist	PSY21258	CA
4	103T00000X	Psychologist	PSY21769	CA
5	103TA0700X	Adult Development & Aging Psychologist	PSY21258	CA
6	103TA0700X	Adult Development & Aging Psychologist	PSY21769	CA
7	103TC0700X	Clinical Psychologist	PSY21258	CA
8	103TC0700X	Clinical Psychologist	PSY21769	CA
9	103TH0004X	Health Psychologist	PSY21258	CA
10	103TH0004X	Health Psychologist	PSY21769	CA
11	103G00000X	Clinical Neuropsychologist	PSY21258	CA

General Provider Information

NPI Number	:	1053598201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEUROBEHAVIORAL HEALTHCARE CENTER, A PROFESSIONAL PSYCHOLOGICAL CO

Provider Business Mailing Address
First Line	:	326 S PACIFIC COAST HWY STE 200
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3769
Country	:	US
Telephone Number	:	310-855-3498
Fax Number	:	310-855-3498

Provider Business Practice Location Address
First Line	:	326 S PACIFIC COAST HWY STE 200
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3769
Country	:	US
Telephone Number	:	310-855-3288
Fax Number	:	310-855-3498

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAPHAEL ZIEGLER
Credential	:
Telephone Number	:	310-855-3288

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	05/20/2019

Similar Medicare Providers

1669872172 — JESSICA SETON CRONIN LMFT
Practice Location Address:

326 S PACIFIC COAST HWY STE 207
REDONDO BEACH, CA
90277-3769

Practice Phone: 310-971-7454
Practice Fax:

1790180602 — SHEILA GARCIA MSW, LCSW
Practice Location Address:

326 S PACIFIC COAST HWY STE 208
REDONDO BEACH, CA
90277-3769

Practice Phone: 323-649-5523
Practice Fax:

1821686700 — EVELYN MEYERS
Practice Location Address:

326 S PACIFIC COAST HWY STE 207
REDONDO BEACH, CA
90277-3769

Practice Phone: 424-262-0610
Practice Fax:

1275475915 — KRISTINA LEWIS LCSW
Practice Location Address:

7449 BRIELLA DR
BOYNTON BEACH, FL
33437-3769

Practice Phone: 561-213-3090
Practice Fax: 561-213-3090

1215177514 — KISHNA SLOAN
Practice Location Address:

7403 BRIELLA DR
BOYNTON BEACH, FL
33437-3769

Practice Phone: 561-704-7224
Practice Fax: 561-509-8841

1447969316 — ALEXZENA J JOYNER APRN, FNP-C
Practice Location Address:

7411 BRIELLA DR
BOYNTON BEACH, FL
33437-3769

Practice Phone: 813-679-9877
Practice Fax:

Directions to “THE NEUROBEHAVIORAL HEALTHCARE CENTER, A PROFESSIONAL PSYCHOLOGICAL CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.