Individual provider · Type 1 NPI

Susan Bakota, ED.D.

Prescribing (Medical) Psychologist · Beverly Hills, CA

NPI number 1861615924 Active

Practice location

9300 Wilshire Blvd
Beverly Hills, CA 90212-3213

Call (310) 478-7733 Map

Mailing address

9300 Wilshire Blvd Ste 320
Beverly Hills, CA 90212-3203

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XPSY13135 (CA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

22 other providers at this address

About NPI 1861615924

Susan Bakota, ED.D.'s National Provider Identifier is 1861615924, issued on Apr 10, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Beverly Hills, CA. The record was last updated on Apr 24, 2018.