City2Village International Initiative

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CITY2VILLAGE INTERNATIONAL INITIATIVE

Practice address

18726 S Western Ave Ste 403
Gardena, CA 90248-3858

Phone

(310) 769-5710

Fax

(844) 850-5892

NPI assigned

Mar 28, 2021

Last updated

Mar 28, 2021By 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. Nyiema Desiree' Carter, PSYDNPI 1699960021

Title

Licensed Clinical Psychologist

Phone

(310) 738-9271

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nyiema Desiree' Carter, PSYD

  • Clinical Psychologist
  • Carson, CA
  • NPI 1699960021
  NPD Authorized official

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1033796669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E ALBERTONI ST STE 200-722",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461425",
            "telephone_number": "310-738-9271",
            "fax_number": "844-850-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE STE 403",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483858",
            "telephone_number": "310-769-5710",
            "fax_number": "844-850-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY2VILLAGE INTERNATIONAL INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NYIEMA",
        "authorized_official_middle_name": "DESIREE'",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-738-9271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Cisneros Sanchez
• Mariel Cisneros
• Yadira Cisneros, NONE
• City Dental Center
• City of Gardena (Gardena Socialization & Activity Center)
• Gregory Andrew Clark
• Lexy R Clark
• Mikaela Clark
• Gino Claudio
• Torrie Clayton-Spikes

• Clinical Psychologist in Gardena, CA
• Providers in Gardena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.