Individual provider Active NPI

Peter A Schou, PHD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1043334915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY8346 Issued in CA
Practice address
6214 Drexel Ave
Los Angeles, CA 90048-4702
Phone
(323) 934-9628
Fax
(323) 938-9209
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY8346 CA Primary

Addresses

Primary practice location

6214 Drexel Ave
Los Angeles, CA 90048-4702

Mailing address

6214 Drexel Ave
Los Angeles, CA 90048-4702
Phone (323) 934-9628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 5, 2021 through Oct 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY8346CAMDClinical Psychologist
8346CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043334915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 DREXEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484702",
            "telephone_number": "323-934-9628",
            "fax_number": "323-938-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 DREXEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484702",
            "telephone_number": "323-934-9628",
            "fax_number": "323-938-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOU",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.