NDS-I, a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20867 Issued in CA

Legal business name

NDS-I, A PSYCHOLOGICAL CORPORATION

Practice address

1222 S Glendale Ave
Suite 4
Glendale, CA 91205-3297

Phone

(818) 551-1800

Fax

(844) 272-6210

NPI assigned

Feb 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nona Williams

Title

Ceo

Phone

(818) 551-1802

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glendale Psychology Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1013309574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S GLENDALE AVE",
            "address_2": "SUITE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053297",
            "telephone_number": "818-551-1800",
            "fax_number": "844-272-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S GLENDALE AVE",
            "address_2": "SUITE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053297",
            "telephone_number": "818-551-1800",
            "fax_number": "844-272-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDS-I, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-551-1802",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427094135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.