Individual provider Active NPI

Francine Lederer, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1093910382
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22298 Issued in CA
Practice address
11340 W Olympic Blvd
Suite 358
Los Angeles, CA 90064-1608
Phone
(310) 854-4589
Fax
(310) 312-5346
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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 22298 CA Primary

Addresses

Primary practice location

11340 W Olympic Blvd
Suite 358
Los Angeles, CA 90064-1608

Mailing address

2531 Sawtelle Blvd
#147
Los Angeles, CA 90064-3124
Phone (310) 854-4589

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1093910382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 SAWTELLE BLVD",
            "address_2": "#147",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643124",
            "telephone_number": "310-854-4589",
            "fax_number": "310-312-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "SUITE 358",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-854-4589",
            "fax_number": "310-312-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERER",
        "first_name": "FRANCINE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22298",
            "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 15, 2009; 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.