Organization Active NPI

Jody Echegaray, Psy.D. Inc.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1144694654
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27829 Issued in CA
Legal business name
JODY ECHEGARAY, PSY.D. INC.
Practice address
1081 Westwood Blvd Ste 221
Los Angeles, CA 90024-2925
Phone
(424) 226-8020
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Julio (Jody) Echegaray, PSY.D.
Title
Ceo
Phone
(424) 226-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY27829 CA Primary

Addresses

Primary practice location

1081 Westwood Blvd Ste 221
Los Angeles, CA 90024-2925

Mailing address

8870 Hargis St
Los Angeles, CA 90034-2444
Phone (424) 226-8020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1144694654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 HARGIS ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342444",
            "telephone_number": "424-226-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 WESTWOOD BLVD STE 221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242925",
            "telephone_number": "424-226-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY ECHEGARAY, PSY.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "ECHEGARAY",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "(JODY)",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-226-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27829",
            "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 Nov 20, 2015; 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.