Active NPI
Behavioral Research Specialists, LLC
- Prescribing (Medical) Psychologist
- Glendale, CA
National Provider Identifier
1235408089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- Legal business name
- BEHAVIORAL RESEARCH SPECIALISTS, LLC
- Practice address
- 230 N. Maryland Ave
#309
Glendale, CA 91206 - Phone
- (818) 524-0000
- Fax
- (818) 255-7744
- NPI assigned
- Dec 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse Carr, MD
- Title
- Medical Director
- Phone
- (818) 524-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | CA | Primary |
Addresses
Primary practice location
230 N. Maryland Ave
#309
Glendale, CA 91206
Mailing address
115 W. California Blvd
#194
Pasadena, CA 91105
Phone (818) 524-0000
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1057984 | Behavioral Research Specialists, LLC | Certificate of waiver | Jul 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324598400000",
"number": "1235408089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W. CALIFORNIA BLVD",
"address_2": "#194",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "818-524-0000",
"fax_number": "818-255-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N. MARYLAND AVE",
"address_2": "#309",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91206",
"telephone_number": "818-524-0000",
"fax_number": "818-255-7744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL RESEARCH SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-23",
"last_updated": "2011-12-23",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "818-524-0000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.