Active NPI
Emily Julia Ricketts, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1043872872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31008
- Practice address
- 760 Westwood PLZ Ste 48-240
Los Angeles, CA 90024-5055 - Phone
- (310) 825-0586
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 31008 | CA | |
| Clinical Psychologist | 103TC0700X | 31008 | CA | Primary |
Addresses
Primary practice location
760 Westwood PLZ Ste 48-240
Los Angeles, CA 90024-5055
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
300 Medical Plaza #2200
Los Angeles, CA 90095-5055
Phone (310) 206-5133
Other practice location 2
760 Westwood Plz Rm 58-242B
Los Angeles, CA 90024-5055
Phone (310) 825-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1043872872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ STE 48-240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245055",
"telephone_number": "310-825-0586"
}
],
"practiceLocations": [
{
"address_1": "300 Medical Plaza #2200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900955055",
"country_code": "US",
"telephone_number": "310-206-5133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Westwood Plz Rm 58-242B",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900245055",
"country_code": "US",
"telephone_number": "310-825-2701",
"fax_number": "310-267-4925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKETTS",
"first_name": "EMILY",
"middle_name": "JULIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "31008",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31008",
"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 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.