Individual provider Active NPI

Pamela Jean Power, PH.D.

  • Psychoanalysis Psychologist
  • Santa Monica, CA
National Provider Identifier
1194986166
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
PSY12134 Issued in CA
Practice address
927 Princeton St
Santa Monica, CA 90403-2219
Phone
(310) 828-4070
NPI assigned
Jun 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X PSY12134 CA Primary

Addresses

Primary practice location

927 Princeton St
Santa Monica, CA 90403-2219

Mailing address

927 Princeton St
Santa Monica, CA 90403-2219
Phone (310) 828-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 21, 2023 through Dec 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12134CAMDAddiction (Substance Use Disorder) Counselor
PSY12134CAMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1194986166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 PRINCETON ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032219",
            "telephone_number": "310-828-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 PRINCETON ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032219",
            "telephone_number": "310-828-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWER",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "PSY12134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.