Organization Active NPI

Aurawellbing, a Psychological Corporation

  • Clinical Psychologist
  • Culver City, CA
National Provider Identifier
1083754949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 10291 Issued in CA
Legal business name
AURAWELLBING, A PSYCHOLOGICAL CORPORATION
Practice address
4230 Overland Ave
Culver City, CA 90230-3736
Phone
(310) 559-0200
Fax
(626) 584-7139
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan Aura, PH.D.NPI 1255490082
Title
President
Phone
(310) 559-0200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 10291 CA Primary

Addresses

Primary practice location

4230 Overland Ave
Culver City, CA 90230-3736

Mailing address

4230 Overland Ave
Culver City, CA 90230-3736
Phone (310) 559-0200

National Provider Directory

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083754949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736",
            "telephone_number": "310-559-0200",
            "fax_number": "626-584-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 OVERLAND AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902303736",
            "telephone_number": "310-559-0200",
            "fax_number": "626-584-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURAWELLBING, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AURA",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-559-0200",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 10291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.