Individual provider Active NPI

Beth I Kalish-Weiss, PH.D, FIPA

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1083833586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 9535 Issued in CA
Practice address
6433 Tahoe Dr
Los Angeles, CA 90068-1655
Phone
(323) 463-1844
Fax
(323) 463-5707
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 9535 CA Primary

Addresses

Primary practice location

6433 Tahoe Dr
Los Angeles, CA 90068-1655

Mailing address

6433 Tahoe Dr
Los Angeles, CA 90068-1655
Phone (323) 463-1844

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 9535CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083833586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 TAHOE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681655",
            "telephone_number": "323-463-1844",
            "fax_number": "323-463-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 TAHOE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681655",
            "telephone_number": "323-463-1844",
            "fax_number": "323-463-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISH-WEISS",
        "first_name": "BETH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PH.D, FIPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 9535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.