Active NPI
Nia Foundation
- Cognitive & Behavioral Psychologist
- Los Angeles, CA
National Provider Identifier
1043045040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Legal business name
- NIA FOUNDATION
- Practice address
- 5830 Overhill Dr Ste 2
Los Angeles, CA 90043-2710 - Phone
- (213) 424-2497
- NPI assigned
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle H. Davis
- Title
- Accounting Coordinator
- Phone
- (626) 676-9664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
5830 Overhill Dr Ste 2
Los Angeles, CA 90043-2710
Mailing address
5361 Overdale Dr
Los Angeles, CA 90043-2022
Phone (562) 480-7251
National Provider Directory
National Provider DirectoryLocations
5830 Overhill Dr
Ste 2
Los Angeles, CA 90043
Phone (213) 424-2497
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Los Angeles, CA
- NPI 1124841382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1043045040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5361 OVERDALE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432022",
"telephone_number": "562-480-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 OVERHILL DR STE 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900432710",
"telephone_number": "213-424-2497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIA FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-06",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "ACCOUNTING COORDINATOR",
"authorized_official_telephone_number": "626-676-9664"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"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 Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.