Atomic Shrink Psychology, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20385 Issued in CA

Legal business name

ATOMIC SHRINK PSYCHOLOGY, INC.

Practice address

100 N Brand Blvd Ste 316
Glendale, CA 91203-2614

Phone

(818) 481-6581

Fax

(800) 976-0803

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Keiko Masuda-Story, PSY.D.

Title

Clinical Psychologist

Phone

(818) 481-6581

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atomic Shrink Psychology, Inc

  • Clinical Psychologist
  • Big Bear Lake, CA
  • NPI 1770922817

  O20180314001431

  Same enrollment
• Atomic Shrink Psychology, Inc.

  • Psychologist
  • Lancaster, CA
  • NPI 1801122247

  O20180314001431

  Same enrollment

Tax ID family

Atomic Shrink Psychology Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Atomic Shrink Psychology, Inc

  • Clinical Psychologist
  • Big Bear Lake, CA
  • NPI 1770922817
  NPD tax ID
• Atomic Shrink Psychology, Inc.

  • Psychologist
  • Lancaster, CA
  • NPI 1801122247
  NPD tax ID
• Atomic Shrink Psychology, Inc.

  • Psychologist
  • Jacksonville, FL
  • NPI 1982530150
  NPD tax ID

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1144468786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17328 VENTURA BLVD",
            "address_2": "SUITE 134",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-481-6581",
            "fax_number": "800-976-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 316",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032614",
            "telephone_number": "818-481-6581",
            "fax_number": "800-976-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOMIC SHRINK PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "MASUDA-STORY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KEIKO",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-481-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.