The Neurobehavioral Healthcare Center, a Professional Psychological Co

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY21258 Issued in CA

Legal business name

THE NEUROBEHAVIORAL HEALTHCARE CENTER, A PROFESSIONAL PSYCHOLOGICAL CO

Practice address

326 S Pacific Coast Hwy Ste 200
Redondo Beach, CA 90277-3769

Phone

(310) 855-3288

Fax

(310) 855-3498

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Raphael ZieglerNPI 1497895601

Title

President

Phone

(310) 855-3288

Specialties & licenses 11

Addresses

Other names 1

• Neurobehavioral Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raphael Ziegler, PH.D.

  • Clinical Neuropsychologist
  • Redondo Beach, CA
  • NPI 1497895601
  Medicare reassignment Care Compare group Authorized official
• Lauren Keats

  • Clinical Psychologist
  • Redondo Beach, CA
  • NPI 1356699342
  Medicare reassignment Care Compare group NPD
• Grace Hamilton

  • Psychologist
  • Mill Creek, WA
  • NPI 1063939759

  CA

  Medicare reassignment NPD
• Crystal Layne Quarry, PSY.D.

  • Clinical Psychologist
  • Redondo Beach, CA
  • NPI 1558708834
  NPD
• David I. Sitzer, PH.D.

  • Clinical Neuropsychologist
  • Redondo Beach, CA
  • NPI 1912177551
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1053598201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S PACIFIC COAST HWY STE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773769",
            "telephone_number": "310-855-3498",
            "fax_number": "310-855-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S PACIFIC COAST HWY STE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773769",
            "telephone_number": "310-855-3288",
            "fax_number": "310-855-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROBEHAVIORAL HEALTHCARE CENTER, A PROFESSIONAL PSYCHOLOGICAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-855-3288"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY21258",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY21769",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21258",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21769",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY21258",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY21769",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21258",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21769",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY21258",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY21769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurobehavioral Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurobehavioral Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie Teng, MD
• Trevessa M. Terrile, MFTI
• Teugbyeolhan, Licensed Clinical Social Worker, Inc.
• The Cliff at Redondo Beach, Inc.
• The Mother Nurture Center
• The TBH Movement, Inc.
• Thelanutritionist Inc.
• Bonita Thomas
• Courtney Joann Thomas
• Jennifer Thomas, DDS

• Clinical Neuropsychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.