Active NPI
Perri Zinberg, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1194026302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14218
- Practice address
- 12011 San Vicente Blvd
Suite 402
Los Angeles, CA 90049-4926 - Phone
- (424) 248-7790
- NPI assigned
- Nov 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY14218 | CA | Primary |
Addresses
Primary practice location
12011 San Vicente Blvd
Suite 402
Los Angeles, CA 90049-4926
Mailing address
11944 Mayfield Ave
#305
Los Angeles, CA 90049-5967
Phone (424) 248-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14218 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1194026302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11944 MAYFIELD AVE",
"address_2": "#305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495967",
"telephone_number": "424-248-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12011 SAN VICENTE BLVD",
"address_2": "SUITE 402",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494926",
"telephone_number": "424-248-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINBERG",
"first_name": "PERRI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14218",
"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 Mar 13, 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.