AMANDA GORLICK
NPI 1316495336
Psychologist - Clinical in Los Angeles, CA

Active since September 19, 2016Opted out of Medicare · through Apr 1, 2028
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095(310) 825-9989 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2020, Sep 19, 2016 (2 updates tracked since 2016).

About Amanda Gorlick NPPES

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

AMANDA GORLICK (NPI 1316495336) is an individual clinical provider in Los Angeles, California, licensed in California (PSY28519) and active in the NPI registry since September 2016. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1316495336
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMANDA GORLICK
Location Address300 UCLA MEDICAL PLZ STE 2200Los Angeles, CA 90095-1556
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Sole ProprietorNo
Enumeration DateSeptember 19, 2016
Last NPPES UpdateDecember 30, 20202 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1316495336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY28519
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

300 UCLA MEDICAL PLZ STE 2200, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amanda Gorlick has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Psychologist
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 2200
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316495336, enumerated as an "individual" on September 19, 2016.

The provider is located at 300 UCLA MEDICAL PLZ STE 2200 LOS ANGELES, CA 90095 and the phone number is (310) 825-9989.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.