Individual provider Active NPI

Nancy Louise Ronne, LCSW

  • Psychoanalyst
  • Los Angeles, CA
National Provider Identifier
1083999429
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
LCS 15292 Issued in CA
Practice address
11633 San Vicente Blvd Ste 240
Los Angeles, CA 90049-6513
Phone
(310) 242-0031
NPI assigned
Oct 17, 2011
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 15292 CA
Psychoanalyst 102L00000X LCS 15292 CA Primary

Addresses

Primary practice location

11633 San Vicente Blvd Ste 240
Los Angeles, CA 90049-6513

Mailing address

11633 San Vicente Blvd Ste 240
Los Angeles, CA 90049-6513
Phone (310) 242-0031

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

LicenseStateTypeSpecialty
LCS 15292CAMDPsychoanalyst
LCSW 15292CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1083999429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496513",
            "telephone_number": "310-242-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496513",
            "telephone_number": "310-242-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNE",
        "first_name": "NANCY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 15292",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "LCS 15292",
            "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 Oct 17, 2011; 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.