MEDICARE: AIM FOR BREAKTHROUGH

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	PSY22815	CA

General Provider Information

NPI Number	:	1285182378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIM FOR BREAKTHROUGH

Provider Business Mailing Address
First Line	:	15335 MORRISON ST
Second Line	:	SUITE 315
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-1513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15335 MORRISON ST
Second Line	:	SUITE 315
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-1513
Country	:	US
Telephone Number	:	818-985-1211
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LICENSED PSYCHOLOGIST
Name	:	AUDREY DAVIDHEISER
Credential	:	PHD
Telephone Number	:	818-985-1211

Provider Enumeration Date	:	09/17/2016
Last Update Date	:	09/17/2016

Similar Medicare Providers

1942269469 — LAWRENCE HAROLD RESNICK M.D.
Practice Location Address:

15335 MORRISON ST , SUITE 304
SHERMAN OAKS, CA
91403-1513

Practice Phone: 818-528-3466
Practice Fax: 818-528-3464

1578595161 — LAWRENCE H RESNICK MD A PROF CORP
Practice Location Address:

15335 MORRISON ST , SUITE 304
SHERMAN OAKS, CA
91403-1513

Practice Phone: 818-528-3466
Practice Fax: 818-528-3464

1922105378 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

15335 MORRISON ST , SUITE 103
SHERMAN OAKS, CA
91403-1513

Practice Phone: 818-461-8902
Practice Fax: 818-528-7459

1962686774 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

15335 MORRISON ST , SUITE103 B
SHERMAN OAKS, CA
91403-1513

Practice Phone: 818-461-8902
Practice Fax: 818-528-7459

1457654279 — MOBILE MAMMOGRAPHY SCREENING INC
Practice Location Address:

15335 MORRISON ST , SUITE 304
SHERMAN OAKS, CA
91403-1513

Practice Phone: 818-528-6466
Practice Fax: 818-528-3464

1184989360 — BEHAVIORAL BUILDING BLOCKS, INC
Practice Location Address:

15335 MORRISON ST , SUITE 235
SHERMAN OAKS, CA
91403-1513

Practice Phone: 818-990-1265
Practice Fax: 818-990-0929

Directions to “AIM FOR BREAKTHROUGH ” 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 © 2007-2025 (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.