Practical Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19391 Issued in CA

Legal business name

PRACTICAL PSYCHOLOGY

Practice address

1755 Huntington Dr
#104
Duarte, CA 91010-2567

Phone

(626) 808-7152

Fax

(888) 898-4591

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Evan D Landrum, PSY.D

Title

Owner

Phone

(626) 808-7152

Specialties & licenses 6

Addresses

Other names 1

• Evan Landrum, Psy.D. Other name

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1265649792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 CALLE MARTOS",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102251",
            "telephone_number": "626-808-7152",
            "fax_number": "888-898-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HUNTINGTON DR",
            "address_2": "#104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102567",
            "telephone_number": "626-808-7152",
            "fax_number": "888-898-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-808-7152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY19391",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19391",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY19391",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY19391",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19391",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY19391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evan Landrum, Psy.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rita Marie Poquette, NP
• Miranda Portesi
• Jocelyn Danielle Portillo
• Jana Portnow, MD
• Hoda Pourhassan
• Pragnesh J Dholakiya and Pooran B Dalwani
• Neal Prakash, M.D., PH.D.
• Hannah Rose Prawat, PA-C
• Roxana Nataly Preciado
• Proserve Hospice Inc

• Clinical Psychologist in Duarte, CA
• Providers in Duarte, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.