Mary Joann Lang, PH.D., Psychologist, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY 12076 Issued in CA

Legal business name

MARY JOANN LANG, PH.D., PSYCHOLOGIST, INC.

Practice address

24 Centerpointe Dr
La Palma, CA 90623-1059

Phone

(714) 288-4200

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Joann Lang, PH.D., ABPB, BCBA

Title

Neuropsychologist

Phone

(714) 288-4200

Specialties & licenses 1

Addresses

Tax ID family

Beacon Autistic Spectrum Independence Center- Basic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beacon Autistic Spectrum Independence Center- B.a.S.I.C.

  • Behavior Analyst
  • La Palma, CA
  • NPI 1750783890
  NPD tax ID

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1023370749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CENTERPOINTE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231059",
            "telephone_number": "714-288-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CENTERPOINTE DR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231059",
            "telephone_number": "714-288-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JOANN LANG, PH.D., PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "MARY JOANN",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "714-288-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPB, BCBA"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 12076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Amarah Martinez
• Jovana V Martinez
• Meah Lynn Martinez
• Morgan Martinez
• Marvi Iqbal MD Inc
• Kit Arnetta McCall
• Richard McCauley, MD
• Margaret M McGill
• Latasha Marie McMorris
• Catherine Alexandra Medina

• Clinical Neuropsychologist in La Palma, CA
• Providers in La Palma, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.