Provider Demographics
NPI:1932082641
Name:CLEARMIND PSYCHOLOGICAL SERVICES, INC
Entity type:Organization
Organization Name:CLEARMIND PSYCHOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELONY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN-GABAI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-944-7478
Mailing Address - Street 1:6310 SAN VICENTE BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5448
Mailing Address - Country:US
Mailing Address - Phone:310-944-7478
Mailing Address - Fax:
Practice Address - Street 1:6310 SAN VICENTE BLVD STE 360
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5448
Practice Address - Country:US
Practice Address - Phone:310-944-7478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent