Organization Active NPI

Nia Foundation

  • Cognitive & Behavioral Psychologist
  • Los Angeles, CA
National Provider Identifier
1043045040
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
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

Updated by the provider on Sep 9, 2024

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)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.