ELDERLY BEHAVIORAL WELLNESS SERVICES INC
NPI 1871983106
Psychologist - Adult Development & Aging in Los Angeles, CA

Q: What is Elderly Behavioral Wellness Services Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Active since January 26, 2015

2001 S BARRINGTON AVE STE 314, LOS ANGELES, CA 90025(310) 999-9683 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Elderly Behavioral Wellness Services Inc NPPES

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

ELDERLY BEHAVIORAL WELLNESS SERVICES INC (NPI 1871983106) is a healthcare organization registered as an adult development & aging in Los Angeles, California and active in the NPI registry since January 2015. The organization lists Eleni Bagourdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871983106

Entity TypeOrganization

Primary Taxonomy103TA0700X

Legal Business NameELDERLY BEHAVIORAL WELLNESS SERVICES INC

Location Address2001 S BARRINGTON AVE STE 314Los Angeles, CA 90025-5379

Mailing Address2001 S Barrington Ave Ste 314Los Angeles, CA 90025-5379

Phone(310) 999-9683

Organization SubpartNo

Authorized OfficialEleni BagourdiCeo · (310) 999-9683

Enumeration DateJanuary 26, 2015

Last NPPES UpdateJune 1, 2021

NPPES CertifiedJune 1, 2021

✔ NPI 1871983106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers

Taxonomy Code103TA0700X

License✔ Licensed in CA · PSY22542

Definition

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

2001 S BARRINGTON AVE STE 314, Los Angeles, CA 90025

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elderly Behavioral Wellness Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Elderly Behavioral Wellness Services Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Eleni Bagourdi, PH.D.

Clinical Psychologist

NPI 1447490958

2001 S BARRINGTON AVE STE 314
Los Angeles, CA 90025

(310) 999-9683

✔ PECOSSame address

Antonia Hickey, PSYD

Clinical Psychologist

NPI 1255619656

2001 S BARRINGTON AVE STE 314
Los Angeles, CA 90025

(323) 546-9261

✔ PECOS✔ Accepts MedicareSame address

Emi Iijima, PSY.D.

Clinical Psychologist

NPI 1154551760

1015 FREMONT AVE 2ND FL #9
South Pasadena, CA 91030

(323) 972-7459

✔ PECOS18 mi

Melissa Stolsig, MS, MA, PSY.D.

Clinical Psychologist

NPI 1881912301

1401 21ST ST STE 4262
Sacramento, CA 95811

(805) 910-7455

✔ PECOS✔ Accepts Medicare355 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elderly Behavioral Wellness Services Inc's NPI number?

The NPI number for Elderly Behavioral Wellness Services Inc is 1871983106. It was assigned to this organization in the NPPES registry on January 26, 2015.

Where is Elderly Behavioral Wellness Services Inc located?

Elderly Behavioral Wellness Services Inc is located at 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025. The listed phone number is (310) 999-9683.

What is Elderly Behavioral Wellness Services Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Elderly Behavioral Wellness Services Inc enrolled in Medicare?

Yes. Elderly Behavioral Wellness Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elderly Behavioral Wellness Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Elderly Behavioral Wellness Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elderly Behavioral Wellness Services Inc was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.