NPIMap

Organization Active NPI

Maat

  • Clinical Psychologist
  • Inglewood, CA
National Provider Identifier
1073359683
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MAAT
Practice address
3500 W Manchester Blvd Unit 349
Inglewood, CA 90305-4349
Phone
(323) 855-7527
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Lance Lenford, PSY.DNPI 1598121667
Title
I/O Psychologist
Phone
(310) 388-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3500 W Manchester Blvd Unit 349
Inglewood, CA 90305-4349

Mailing address

6230 Wilshire Blvd Ste a
Los Angeles, CA 90048-5126
Phone (310) 388-2611

Other names 1

  • Gravity Wellness BHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gravity Wellnes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1073359683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485126",
            "telephone_number": "310-388-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W MANCHESTER BLVD UNIT 349",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903054349",
            "telephone_number": "323-855-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "LENFORD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "I/O PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-388-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gravity Wellness BHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.