My Private Practice, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MY PRIVATE PRACTICE, INC.

Practice address

3201 Wilshire Blvd Ste 201
Santa Monica, CA 90403-2337

Phone

(310) 569-8321

Fax

(310) 829-7868

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Charles Scott, PSY.D.

Title

President

Phone

(310) 569-8321

Specialties & licenses 1

Addresses

Other names 1

• Kenneth Scott PsyD Doing business as

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1144640491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032337",
            "telephone_number": "310-569-8321",
            "fax_number": "310-829-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032337",
            "telephone_number": "310-569-8321",
            "fax_number": "310-829-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PRIVATE PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-569-8321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Scott PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samuel Muslin, D.D.S.
• MVP Compounds Inc
• My Hearing Centers, LLC
• My la Therapy
• Allison Marie Myers, PHARM.D.
• Summer Anne Myers, MA
• Erika Sherron Myles
• Myqi
• Shira Myrow, LMFT

• Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.