Active NPI
Ashley Conner, PSYD
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1073169140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33809
- Practice address
- 1247 7TH St Ste 202
Santa Monica, CA 90401-1643 - Phone
- (323) 902-7299
- NPI assigned
- Aug 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33809 | CA | Primary |
Addresses
Primary practice location
1247 7TH St Ste 202
Santa Monica, CA 90401-1643
Mailing address
15332 Antioch St # 206
Pacific Palisades, CA 90272-3603
Other practice location 1
1849 Sawtelle Blvd
Los Angeles, CA 90025-7006
Phone (323) 902-7299
Other practice location 2
6404 Wilshire Blvd Ste 870
Los Angeles, CA 90048-5531
Phone (800) 624-1475
Other practice location 3
18646 Oxnard St
Tarzana, CA 91356-1486
Phone (818) 996-1051 ext. 1191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33809 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBT California | Clinical | 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.
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1689100521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1073169140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15332 ANTIOCH ST # 206",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 7TH ST STE 202",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011643",
"telephone_number": "323-902-7299"
}
],
"practiceLocations": [
{
"address_1": "1849 Sawtelle Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900257006",
"country_code": "US",
"telephone_number": "323-902-7299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6404 Wilshire Blvd Ste 870",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485531",
"country_code": "US",
"telephone_number": "800-624-1475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18646 Oxnard St",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913561486",
"country_code": "US",
"telephone_number": "818-996-1051 x1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNER",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.