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VIANNAE CARMONA NELKIN PSYD, BCABA
NPI 1104365873
Clinical Neuropsychologist in Los Angeles, CA

Active since February 15, 2017PECOS Enrolled
444 S SAN VICENTE BLVD STE 103, LOS ANGELES, CA 90048(310) 423-9722 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Feb 15, 2017 (2 updates tracked since 2017).

About Viannae Carmona Nelkin Psyd, Bcaba NPPES

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

VIANNAE CARMONA NELKIN PSYD, BCABA (NPI 1104365873) is an individual clinical neuropsychologist in Los Angeles, California, licensed in California (35541) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104365873
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameVIANNAE CARMONA NELKINCredential: PSYD, BCABA
Location Address444 S SAN VICENTE BLVD STE 103Los Angeles, CA 90048-4169
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-9722
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 15, 2017
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1104365873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · 35541
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X · License 0-14-6039 (CA)
444 S SAN VICENTE BLVD STE 103, Los Angeles, CA 90048
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Other Names 1

Former Name (1)Viannae Carmona Bcaba

Secondary Practice Locations 3

Location 12070 Century Park E # P456Los Angeles, CA 90067-1907 · Phone (424) 522-7141
Location 28700 Beverly Blvd # 7409West Hollywood, CA 90048-1804 · Phone (310) 423-9722
Location 3930 S Robertson Blvd Ste BLos Angeles, CA 90035-1642 · Phone (424) 274-0507

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Viannae Carmona Nelkin Psyd, Bcaba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395229371
PECOS Enrollment IDI20260318000924
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

YI MIAO PHD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. KENNETH HARTLINE PSY.D.
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. ANDREW STEVEN ROSENBLATT PHD
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
LIORAH SABBAH PHD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. MITZI MICHELLE GONZALES PH.D.
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
JUSTIN D MISTERKA PSYD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722

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 Viannae Nelkin's NPI number?

The NPI number for Viannae Nelkin is 1104365873. It was assigned to this individual provider in the NPPES registry on February 15, 2017. The provider is also known as Viannae Carmona Bcaba.

Where is Viannae Nelkin located?

Viannae Nelkin practices at 444 S San Vicente Blvd Ste 103, Los Angeles, CA 90048. The listed phone number is (310) 423-9722.

What is Viannae Nelkin's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Viannae Nelkin enrolled in Medicare?

Yes. Viannae Nelkin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Viannae Nelkin was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.