Active NPI
Denise Luria, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1063646271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 6828
- Practice address
- 11726 San Vicente Blvd Ste 370
Los Angeles, CA 90049-5075 - Phone
- (310) 207-8877
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Psychologist | 103TC0700X | PSY 6828 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 6828 | CA |
Addresses
Primary practice location
11726 San Vicente Blvd Ste 370
Los Angeles, CA 90049-5075
Mailing address
11726 San Vicente Blvd Ste 370
Los Angeles, CA 90049-5075
Phone (310) 207-8877
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 6828 | CA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1063646271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11726 SAN VICENTE BLVD STE 370",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495075",
"telephone_number": "310-207-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11726 SAN VICENTE BLVD STE 370",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495075",
"telephone_number": "310-207-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LURIA",
"first_name": "DENISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 6828",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 6828",
"primary": false
}
],
"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 May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.