South Bay Psychological Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PSY4440 Issued in CA

Legal business name

SOUTH BAY PSYCHOLOGICAL CENTER

Practice address

24445 Hawthorne Blvd
#105
Torrance, CA 90505-6562

Phone

(310) 373-6359

Fax

(310) 375-2386

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Fridley, PH.D.

Title

Director

Phone

(310) 373-6359

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083799969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24445 HAWTHORNE BLVD",
            "address_2": "#105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056562",
            "telephone_number": "310-373-6359",
            "fax_number": "310-375-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24445 HAWTHORNE BLVD",
            "address_2": "#105",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056562",
            "telephone_number": "310-373-6359",
            "fax_number": "310-375-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIDLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-373-6359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Optometry, Inc.
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• South Bay Plastic Surgeons, Inc. (South Bay Plastic Surgeons)
• South Bay Psychiatric Medical Group, Inc.
• South Bay Sleep Center
• South Bay Sleep Center LLC
• South Bay Speech Therapy Clinic, PC
• South Bay Sports Medicine Physical Therapy Inc.
• South Bay Surgical Center Group, Inc.

• Mental Health Counselor in Torrance, CA
• Providers in Torrance, CA by specialty
• Mental Health Counselor in California

• 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.