CLARITA WISNIA PH.D.
NPI 1225227085
Psychologist in Los Angeles, CA

Active since October 17, 2007PECOS EnrolledAccepts Medicare Assignment
12011 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90049(818) 539-7589(818) 539-7589 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarita Wisnia Ph.d. NPPES

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

CLARITA WISNIA PH.D. (NPI 1225227085) is an individual psychologist in Los Angeles, California, licensed in California (PSY13323) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Encino, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1225227085
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCLARITA WISNIACredential: PH.D.
Location Address12011 SAN VICENTE BLVD STE 408Los Angeles, CA 90049-4946
Mailing Address12011 San Vicente Blvd Ste 408Los Angeles, CA 90049-4946 · (818) 539-7589 · Fax (818) 539-7586
Fax(818) 539-7589
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 17, 2007
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
NPI 1225227085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY13323
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12011 SAN VICENTE BLVD STE 408, Los Angeles, CA 90049

Secondary Practice Location 1

Location 116260 Ventura Blvd, Suite LL30Encino, CA 91436-4927 · Phone (818) 990-5906 · Fax (818) 785-6358

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clarita Wisnia Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163440496
PECOS Enrollment IDI20101201001272
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.

Marriage & Family Therapist
12011 SAN VICENTE BLVD STE 408
LOS ANGELES, CA 90049
Marriage & Family Therapist
12011 SAN VICENTE BLVD STE 408
LOS ANGELES, CA 90049
Counselor (Mental Health)
12011 SAN VICENTE BLVD STE 408
LOS ANGELES, CA 90049
Marriage & Family Therapist
12011 SAN VICENTE BLVD STE 408
LOS ANGELES, CA 90049
Marriage & Family Therapist
12011 SAN VICENTE BLVD STE 408
LOS ANGELES, CA 90049
Counselor
12011 SAN VICENTE BLVD STE 408
LOS ANGELES, CA 90049

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 Clarita Wisnia's NPI number?

The NPI number for Clarita Wisnia is 1225227085. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Clarita Wisnia located?

Clarita Wisnia practices at 12011 San Vicente Blvd Ste 408, Los Angeles, CA 90049. The listed phone number is (818) 539-7589.

What is Clarita Wisnia's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Clarita Wisnia enrolled in Medicare?

Yes. Clarita Wisnia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Clarita Wisnia was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.