Organization Active NPI

Transform Psychological Services

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1235727454
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TRANSFORM PSYCHOLOGICAL SERVICES
Practice address
2116 Wilshire Blvd
Santa Monica, CA 90403-5747
Phone
(310) 924-9117
NPI assigned
Jan 4, 2021
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Dr. Samantha Schlossmann, PSY.DNPI 1356830657
Title
Clinical Director
Phone
(310) 924-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2116 Wilshire Blvd
Santa Monica, CA 90403-5747

Mailing address

7727 W Manchester Ave Apt 3
Playa del Rey, CA 90293-8938
Phone (310) 924-9117

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contact@transformpsychologicalservices.com

National Provider Directory

National Provider Directory

Locations

2116 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 924-9117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1235727454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 W MANCHESTER AVE APT 3",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938938",
            "telephone_number": "310-924-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035747",
            "telephone_number": "310-924-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORM PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSMANN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-924-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@transformpsychologicalservices.com",
            "affiliation": "N",
            "address_1": "2116 Wilshire Blvd",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.