Organization Active NPI

Jane E. Lewis, PH.D. a Psychological Corporation

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1033430988
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6555 Issued in CA
Legal business name
JANE E. LEWIS, PH.D. A PSYCHOLOGICAL CORPORATION
Practice address
10700 Santa Monica Blvd.
Suite 315
Los Angeles, CA 90025
Phone
(310) 277-8810
Fax
(310) 374-7101
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Jane Elizabeth Lewis, PH.D.
Title
President
Phone
(310) 277-8810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY6555 CA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY6555 CA Primary

Addresses

Primary practice location

10700 Santa Monica Blvd.
Suite 315
Los Angeles, CA 90025

Mailing address

10700 Santa Monica Blvd.
Suite 315
Los Angeles, CA 90025
Phone (310) 277-8810

National Provider Directory

National Provider Directory

Locations

10700 Santa Monica Blvd
#31
Los Angeles, CA 90025
Phone (310) 277-8810

9911 W Pico Blvd
#1430
Los Angeles, CA 90035
Phone (310) 277-8810

10700 Santa Monica Blvd
Ste 315
Los Angeles, CA 90025
Phone (310) 277-8810

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": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1033430988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD.",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-277-8810",
            "fax_number": "310-374-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD.",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-277-8810",
            "fax_number": "310-374-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE E. LEWIS, PH.D. A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-277-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY6555",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6555",
            "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 Mar 24, 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.