Organization Active NPI

Gideon Psychology, PC

  • Psychologist
  • Santa Monica, CA
National Provider Identifier
1013492388
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GIDEON PSYCHOLOGY, PC
Practice address
1452 26TH St Ste 106
Santa Monica, CA 90404-3042
Phone
(626) 325-9321
NPI assigned
Oct 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Quincee Gideon, PSYDNPI 1467703876
Title
President
Phone
(626) 325-9321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1452 26TH St Ste 106
Santa Monica, CA 90404-3042

Mailing address

1137 2ND St Ste 216
Santa Monica, CA 90403-5077
Phone (626) 325-9321

National Provider Directory

National Provider Directory

Locations

1137 2nd St
Ste 216
Santa Monica, CA 90403
Phone (310) 587-1154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1013492388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 216",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035077",
            "telephone_number": "626-325-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 26TH ST STE 106",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043042",
            "telephone_number": "626-325-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "GIDEON",
        "authorized_official_first_name": "QUINCEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-325-9321",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.