Provider Demographics
NPI:1447047725
Name:RACHEL LANGSAM PSYCHOTHERAPY PC
Entity type:Organization
Organization Name:RACHEL LANGSAM PSYCHOTHERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-582-8638
Mailing Address - Street 1:3671 COUNTRY CLUB DR UNIT K
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3862
Mailing Address - Country:US
Mailing Address - Phone:914-582-8638
Mailing Address - Fax:
Practice Address - Street 1:242 W MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7715
Practice Address - Country:US
Practice Address - Phone:914-582-8638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)