Elderly Behavioral Wellness Services Inc
NPI 1871983106 · Adult Development & Aging Psychologist · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elderly Behavioral Wellness Services Inc is a Adult Development & Aging Psychologist organization in Los Angeles, CA (NPI 1871983106).
Provider details
- NPI number
- 1871983106
- Entity type
- Organization
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Eleni Bagourdi, Ceo(310) 999-9683
- License
- PSY22542 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Elderly Behavioral Wellness Services Inc's NPI number?
- Elderly Behavioral Wellness Services Inc's National Provider Identifier (NPI) is 1871983106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elderly Behavioral Wellness Services Inc?
- Elderly Behavioral Wellness Services Inc is classified in the NPPES registry as Adult Development & Aging Psychologist (Behavioral Health & Social Service Providers).
- Where is Elderly Behavioral Wellness Services Inc located?
- Elderly Behavioral Wellness Services Inc's practice location on file with NPPES is 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379.
- What is Elderly Behavioral Wellness Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Elderly Behavioral Wellness Services Inc is (310) 999-9683.
- Does Elderly Behavioral Wellness Services Inc accept Medicare?
- Elderly Behavioral Wellness Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elderly Behavioral Wellness Services Inc?
- The authorized official listed on Elderly Behavioral Wellness Services Inc's NPPES record is Eleni Bagourdi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elderly Behavioral Wellness Services Inc's NPI active?
- Yes — Elderly Behavioral Wellness Services Inc's NPI (1871983106) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.