NPIMap

Organization Active NPI

Christian Counseling & Education Partners

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1225337199
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 21932 Issued in CA
Legal business name
CHRISTIAN COUNSELING & EDUCATION PARTNERS
Practice address
3540 Wilshire Blvd Ste 1024
Los Angeles, CA 90010-2316
Phone
(213) 500-2125
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Jonathan Shung Kang, PH.D., PSY.D.
Title
President
Phone
(213) 500-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY 21932 CA Primary

Addresses

Primary practice location

3540 Wilshire Blvd Ste 1024
Los Angeles, CA 90010-2316

Mailing address

3540 Wilshire Blvd Ste 1024
Los Angeles, CA 90010-2316
Phone (213) 500-2125

Other identifiers 1

IdentifierTypeStateIssuer
1669635306OtherCANPI TYPE I

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1225337199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD STE 1024",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102316",
            "telephone_number": "213-500-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD STE 1024",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102316",
            "telephone_number": "213-500-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING & EDUCATION PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SHUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-500-2125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 21932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1669635306",
            "state": "CA"
        }
    ],
    "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 17, 2011; 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.