MR. DMITRIY SHEGELMAN RADT
NPI 1093495640
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since July 19, 2023
5675 W. OLYMPIC BLVD., LOS ANGELES, CA 90036(323) 965-1365(323) 965-0444 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Jul 19, 2023 (2 updates tracked since 2023).

About Mr. Dmitriy Shegelman Radt NPPES

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

MR. DMITRIY SHEGELMAN RADT (NPI 1093495640) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (R1511500623) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1093495640
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DMITRIY SHEGELMANCredential: RADT
Location Address5675 W. OLYMPIC BLVD.Los Angeles, CA 90036
Mailing Address5675 W. Olympic Blvd.Los Angeles, CA 90036 · (323) 965-1365 · Fax (323) 965-0444
Fax(323) 965-0444
Sole ProprietorNo
Enumeration DateJuly 19, 2023
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1093495640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1511500623
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License R1511500623 (CA)
5675 W. OLYMPIC BLVD., Los Angeles, CA 90036

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
5675 W. OLYMPIC BLVD.
LOS ANGELES, CA 90036
Student in an Organized Health Care Education/Training Program
5675 W. OLYMPIC BLVD.
LOS ANGELES, CA 90036
Student in an Organized Health Care Education/Training Program
5675 W. OLYMPIC BLVD.
LOS ANGELES, CA 90036
Marriage & Family Therapist
5675 W. OLYMPIC BLVD.
LOS ANGELES, CA 90036

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 Dmitriy Shegelman's NPI number?

The NPI number for Dmitriy Shegelman is 1093495640. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Dmitriy Shegelman located?

Dmitriy Shegelman practices at 5675 W. Olympic Blvd., Los Angeles, CA 90036. The listed phone number is (323) 965-1365.

What is Dmitriy Shegelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dmitriy Shegelman was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.