Individual provider Active NPI

Natalie Betlachin, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1245354448
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
27138 Issued in CA
Practice address
1816 S Figueroa St FL 6
Los Angeles, CA 90015-3422
Phone
(818) 917-0561
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 27138 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 27138 CA Primary

Addresses

Primary practice location

1816 S Figueroa St FL 6
Los Angeles, CA 90015-3422

Mailing address

1816 S Figueroa St FL 6
Los Angeles, CA 90015-3422
Phone (213) 760-6088

Other practice location 1

7909 Van Nuys Blvd
#E
Panorama City, CA 91402-6073
Phone (818) 254-9035

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

State licenses

LicenseStateTypeSpecialty
27138CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1245354448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 S FIGUEROA ST FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153422",
            "telephone_number": "213-760-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 S FIGUEROA ST FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153422",
            "telephone_number": "818-917-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7909 Van Nuys Blvd",
            "address_2": "#E",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914026073",
            "country_code": "US",
            "telephone_number": "818-254-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETLACHIN",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27138",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27138",
            "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 Jan 13, 2023; 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.