Provider Demographics
NPI:1063550879
Name:BARRINGTON PSYCHIATRIC CENTER
Entity type:Organization
Organization Name:BARRINGTON PSYCHIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-826-3235
Mailing Address - Street 1:1990 S BUNDY DR
Mailing Address - Street 2:320
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5240
Mailing Address - Country:US
Mailing Address - Phone:310-826-3235
Mailing Address - Fax:310-447-0840
Practice Address - Street 1:1990 S BUNDY DR
Practice Address - Street 2:320
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5240
Practice Address - Country:US
Practice Address - Phone:310-826-3235
Practice Address - Fax:310-447-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty