PCH TREATMENT
NPI 1003135906
Psychologist - Group Psychotherapy in Los Angeles, CA

Active since May 18, 2010
11965 VENICE BLVD, SUITE 407, LOS ANGELES, CA 90066(310) 566-7625(310) 566-7629 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pch Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PCH TREATMENT (NPI 1003135906) is a healthcare organization registered as a group psychotherapy in Los Angeles, California and active in the NPI registry since May 2010. The organization lists Jeffery Ball, Executive And Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1003135906
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NamePSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER
Location Address11965 VENICE BLVD, SUITE 407Los Angeles, CA 90066-3979
Mailing Address11965 Venice Blvd, Suite 407Los Angeles, CA 90066-3979 · (310) 566-7625 · Fax (310) 566-7629
Fax(310) 566-7629
Organization SubpartNo
Authorized OfficialJeffery BallExecutive And Clinical Director · (310) 571-8040
Enumeration DateMay 18, 2010
NPI 1003135906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
11965 VENICE BLVD, Los Angeles, CA 90066

Other Names 1

Other NamePch Treatment

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2151379

Pch Treatment Center · Los Angeles, CA
Expired · Jul 16, 2026
CLIA Number05D2151379
Laboratory TypeUrine Analysis
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorDr. Timothy Pylko
Laboratory Phone(310) 566-7604
Laboratory LocationPch Treatment Center11965 Venice Blvd Suite 202, Los Angeles, CA 90066
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2151378

Pch Treatment Center · Los Angeles, CA
Expired · Jul 16, 2026
CLIA Number05D2151378
Laboratory TypeUrine Analysis
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorTimothy Pylko
Laboratory Phone(310) 566-7625
Laboratory LocationPch Treatment Center11957 Victoria Avenue, Los Angeles, CA 90066
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2151376

Pch Treatment Center · Los Angeles, CA
Expired · Jul 16, 2026
CLIA Number05D2151376
Laboratory TypeUrine Analysis
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorTimothy Pylko
Laboratory Phone(310) 566-7604
Laboratory LocationPch Treatment Center3777 Grand View Blvd, Los Angeles, CA 90066
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2151377

Pch Treatment Center · Los Angeles, CA
Expired · Jul 16, 2026
CLIA Number05D2151377
Laboratory TypeUrine Analysis
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorDr. Timothy Pylko
Laboratory Phone(310) 566-7604
Laboratory LocationPch Treatment Center3772 Grand View Blvd, Los Angeles, CA 90066
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
11965 VENICE BLVD, SUITE 202
LOS ANGELES, CA 90066
Marriage & Family Therapist
11965 VENICE BLVD, SUITE 405
LOS ANGELES, CA 90066
Acupuncturist
11965 VENICE BLVD, SUITE 209
LOS ANGELES, CA 90066
Midwife
11965 VENICE BLVD, SUITE# 204
LOS ANGELES, CA 90066
Acupuncturist
11965 VENICE BLVD, SUITE 407
LOS ANGELES, CA 90066
Dietitian, Registered
11965 VENICE BLVD, SUITE 209
LOS ANGELES, CA 90066
Psychologist (Clinical)
11965 VENICE BLVD, SUITE 202
LOS ANGELES, CA 90066
Physical Therapist
11965 VENICE BLVD, SUITE 404
LOS ANGELES, CA 90066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psychological Care And Healing Treatment Center's NPI number?

The NPI number for Psychological Care And Healing Treatment Center is 1003135906. It was assigned to this organization in the NPPES registry on May 18, 2010. The provider is also known as Pch Treatment.

Where is Psychological Care And Healing Treatment Center located?

Psychological Care And Healing Treatment Center is located at 11965 Venice Blvd Suite 407, Los Angeles, CA 90066. The listed phone number is (310) 566-7625.

What is Psychological Care And Healing Treatment Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Psychological Care And Healing Treatment Center was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.