Active NPI
Sandra Labeeb
- Psychologist
- Los Angeles, CA
National Provider Identifier
1235556739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32469
- Practice address
- 3580 Wilshire Blvd Ste 2000
Los Angeles, CA 90010 - Phone
- (213) 381-1250
- Fax
- (213) 383-4803
- NPI assigned
- Mar 21, 2014
- Reactivated
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 32469 | CA | Primary |
Addresses
Primary practice location
3580 Wilshire Blvd Ste 2000
Los Angeles, CA 90010
Mailing address
3580 Wilshire Blvd Ste 2000
Los Angeles, CA 90010-2533
Phone (213) 381-1250
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Psychological Services, Inc | Current | Accepting new patients | |
| Memory Check Psychological Services, a Professional Corporation | Current | Accepting new patients | |
| Illuminate Psychological Services, PC | Cognitive & Behavioral | Current | Accepting new patients |
| Thrive Psychological Services Inc | Past | Accepting new patients |
Locations
5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664
348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
-
- Adult Mental Health Clinic/Center
- Corona, CA
- NPI 1386428597
-
- Clinical Psychologist
- Irvine, CA
- NPI 1144894114
Cognitive & Behavioral
-
dba Thrive Psychological Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ontario, CA
- NPI 1528640026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1235556739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD STE 2000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102533",
"telephone_number": "213-381-1250",
"fax_number": "213-383-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 WILSHIRE BLVD STE 2000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90010",
"telephone_number": "213-381-1250",
"fax_number": "213-383-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABEEB",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"deactivation_date": "2016-12-27",
"reactivation_date": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "32469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Lab Worx LLC
- Moniza Bel Vasquez Labagnoy, NP-C
- Michelle Valdez Labao, AGACNP-BC
- Heather Kay Labar, SLP
- Rita Labeaune, PSY.D.
- Pamela M Labella, LMFT
- Natasha Labelle, M.D.
- Labert in Home Care Support Services (Gentle Touch In Home Care)
- Labib Sinat Family Dentistry Inc (Sinat Family Dentistry)
- Farshad Labib, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.