Organization Active NPI

Michael J. Whitman, a Psychological Corporation

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1063870764
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21428 Issued in CA
Legal business name
MICHAEL J. WHITMAN, A PSYCHOLOGICAL CORPORATION
Practice address
360 N Bedford Dr Ste 319
Beverly Hills, CA 90210-5121
Phone
(310) 622-3695
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Michael Whitman
Title
Psychologist
Phone
(310) 622-3695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY21428 CA Primary

Addresses

Primary practice location

360 N Bedford Dr Ste 319
Beverly Hills, CA 90210-5121

Mailing address

360 N Bedford Dr Ste 319
Beverly Hills, CA 90210-5121

National Provider Directory

National Provider Directory

Locations

360 N Bedford Dr
Ste 319
Beverly Hills, CA 90210
Phone (310) 622-3695

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1063870764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR STE 319",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR STE 319",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105121",
            "telephone_number": "310-622-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. WHITMAN, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-622-3695"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.