IndividualActive
Nicole Bermensolo, MA
NPI 1700525607 · Group Psychotherapy Psychologist · Los Angeles, CA
Provider details
- NPI number
- 1700525607
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- License
- 132721 (CA)
Practice location
10586 W Pico Blvd # 257
Los Angeles, CA 90064-2332
Phone: (424) 271-5221
Mailing address
10586 W Pico Blvd # 257
Los Angeles, CA 90064-2332
Registry dates
- Enumerated
- 2022-05-31
- Last updated
- 2022-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.