Organization Active NPI

LC Amick PHD a Professional Psychology Corporation

  • Clinic/Center
  • Glendale, CA
National Provider Identifier
1184048019
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LC AMICK PHD A PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
401 N Brand Blvd
Suite 346
Glendale, CA 91203-4427
Phone
(818) 480-6517
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Dr. Leticia C Amick, PHDNPI 1063490514
Title
President
Phone
(818) 480-6517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

401 N Brand Blvd
Suite 346
Glendale, CA 91203-4427

Mailing address

121 W Lexington Dr
Suite 346
Glendale, CA 91203-2203

National Provider Directory

National Provider Directory

Locations

401 N Brand Blvd
Ste 346
Glendale, CA 91203
Phone (818) 480-6517

121 W Lexington Dr
Ste 346
Glendale, CA 91203
Phone (818) 480-6517

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": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1184048019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR",
            "address_2": "SUITE 346",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD",
            "address_2": "SUITE 346",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-480-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC AMICK PHD A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "AMICK",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-480-6517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.