Individual provider Active NPI

Marcia Ginger Lamm, PHD QME

  • Psychologist
  • Woodland Hills, CA
National Provider Identifier
1205044674
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY9825 Issued in CA
Practice address
21031 Ventura Blvd
504
Woodland Hills, CA 91364-2203
Phone
(818) 340-1210
Fax
(818) 340-1207
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY9825 CA Primary

Addresses

Primary practice location

21031 Ventura Blvd
504
Woodland Hills, CA 91364-2203

Mailing address

21031 Ventura Blvd
504
Woodland Hills, CA 91364-2203
Phone (818) 340-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000403 CA Practitioner - Clinical Psychologist 8325105315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21031 Ventura Blvd
Suite 507
Woodland Hills, CA 91364-2265
Phone (818) 340-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY9825CAMDPsychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1205044674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BLVD",
            "address_2": "504",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642203",
            "telephone_number": "818-340-1210",
            "fax_number": "818-340-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 VENTURA BLVD",
            "address_2": "504",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642203",
            "telephone_number": "818-340-1210",
            "fax_number": "818-340-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "MARCIA",
        "middle_name": "GINGER",
        "name_prefix": "Dr.",
        "credential": "PHD QME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.