Organization Active NPI

Gary R Schlecter MD Inc

  • Psychologist
  • Culver City, CA
National Provider Identifier
1093084535
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
G319090 Issued in CA
Legal business name
GARY R SCHLECTER MD INC
Practice address
4900 Overland Ave Unit 322
Culver City, CA 90230-4292
Phone
(310) 560-1885
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Gary R Schlecter, M.D.
Title
Sole Owner
Phone
(310) 560-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X G319090 CA Primary

Addresses

Primary practice location

4900 Overland Ave Unit 322
Culver City, CA 90230-4292

Mailing address

4900 Overland Ave Unit 322
Culver City, CA 90230-4292
Phone (310) 560-1885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1093084535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OVERLAND AVE UNIT 322",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304292",
            "telephone_number": "310-560-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OVERLAND AVE UNIT 322",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304292",
            "telephone_number": "310-560-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R SCHLECTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHLECTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "310-560-1885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "G319090",
            "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 Mar 18, 2014; 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.