Dr. Marcia G Lamm, PHD,Licensed Clinical Psychologist PC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PSY9825 Issued in CA

Legal business name

DR. MARCIA G LAMM, PHD,LICENSED CLINICAL PSYCHOLOGIST PC

Practice address

21031 Ventura Blvd
Suite 507
Woodland Hills, CA 91364-2203

Phone

(818) 340-1210

Fax

(818) 340-1207

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Marcia Ginger Lamm, PHDNPI 1205044674

Title

President

Phone

(818) 340-1210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Marcia Ginger Lamm, PHD QME

  • Psychologist
  • Woodland Hills, CA
  • NPI 1205044674
  Medicare reassignment Authorized official
• Banafshe Patricia Sharokhi, PH.D., Q.M.E.

  • Clinical Psychologist
  • Woodland Hills, CA
  • NPI 1629391545
  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1063847689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BLVD",
            "address_2": "SUITE 507",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642203",
            "telephone_number": "818-340-1210",
            "fax_number": "818-340-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BLVD",
            "address_2": "SUITE 507",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642203",
            "telephone_number": "818-340-1210",
            "fax_number": "818-340-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARCIA G LAMM, PHD,LICENSED CLINICAL PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "LAMM",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "GINGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-340-1210",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "PSY9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.