Organization Active NPI

Westside Neurotherapeutics Inc

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1013584002
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WESTSIDE NEUROTHERAPEUTICS INC
Practice address
10850 Wilshire Blvd Ste 1260
Los Angeles, CA 90024-4337
Phone
(310) 208-7144
Fax
(310) 209-0444
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Linda Noel
Title
Accountant
Phone
(310) 892-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10850 Wilshire Blvd Ste 1260
Los Angeles, CA 90024-4337

Mailing address

10780 Santa Monica Blvd Ste 470
Los Angeles, CA 90025-7616
Phone (310) 208-7144

National Provider Directory

National Provider Directory

Locations

2080 Century Park E
Ste 1403
Los Angeles, CA 90067
Phone (844) 638-7637

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1013584002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 470",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257616",
            "telephone_number": "310-208-7144",
            "fax_number": "310-209-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 WILSHIRE BLVD STE 1260",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244337",
            "telephone_number": "310-208-7144",
            "fax_number": "310-209-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE NEUROTHERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "310-892-1157"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.