Deanna Dow, PHD, Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

DEANNA DOW, PHD, INC

Practice address

1849 Sawtelle Blvd Ste 750
Los Angeles, CA 90025-7082

Phone

(310) 861-4041

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Deanna Dow, PHDNPI 1003341314

Title

Founder, Director, Ceo

Phone

(586) 215-7300

Specialties & licenses 4

Addresses

Other names 1

• Spectrum Psych Los Angeles Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna Tracy Dow, M.S.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1003341314
  NPD Authorized official
• Haley Goodman, MA

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1770367690
  NPD
• Reina Suzanne Factor, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1679282438
  NPD (past)
• Emily Turner Wood, MD, PHD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1992114383
  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1104695725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257082",
            "telephone_number": "310-861-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257082",
            "telephone_number": "310-861-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA DOW, PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "FOUNDER, DIRECTOR, CEO",
        "authorized_official_telephone_number": "586-215-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Psych Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suyama Ruth Dean, LVN
• Umeko Lotus Dean
• Richard A. Deandrea, M.D., N.D.
• Deane B. Jacques, M.D., Inc.
• Joseph Deangelo, ASW
• Matthew Deardorff, MD, PHD
• Rosemary D Dearnley, RN
• Trier M Dearth
• Jessica Deas, MD
• Richard Bauman Deaton, PSY.D.

• Developmental Disabilities Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Developmental Disabilities Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.