Active NPI
Brian Betz, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1225218142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 1605
- Practice address
- 1925 Daly St
Second Floor
Los Angeles, CA 90031-3309 - Phone
- (323) 667-9029
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PSY 1605 | CA | Primary |
Addresses
Primary practice location
1925 Daly St
Second Floor
Los Angeles, CA 90031-3309
Mailing address
1925 Daly St FL 2
DMH - Countywide Resource Management
Los Angeles, CA 90031-3309
Phone (323) 226-4448
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 |
|---|---|---|---|
| PSY 1605 | CA | MD | Clinical Psychologist |
| 16035 | CA | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Countywide Resource Management | Past | Accepting new patients |
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.
-
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- Los Angeles, CA
- NPI 1528220407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1225218142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 DALY ST FL 2",
"address_2": "DMH - COUNTYWIDE RESOURCE MANAGEMENT",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313309",
"telephone_number": "323-226-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 DALY ST",
"address_2": "SECOND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900313309",
"telephone_number": "323-667-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETZ",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 1605",
"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 Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.