NPIMap

Organization Active NPI

Soi Counseling & Psychological Testing Center

  • Psychologist
  • Manhattan Beach, CA
National Provider Identifier
1265715247
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9844 Issued in CA
Legal business name
SOI COUNSELING & PSYCHOLOGICAL TESTING CENTER
Practice address
2007 Cedar Ave
Manhattan Beach, CA 90266-2955
Phone
(310) 546-6500
Fax
(310) 546-9068
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Ms. Denise L Young
Title
Office Manager
Phone
(310) 546-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 9844 CA Primary

Addresses

Primary practice location

2007 Cedar Ave
Manhattan Beach, CA 90266-2955

Mailing address

2007 Cedar Ave
Manhattan Beach, CA 90266-2955
Phone (310) 546-6500

Other identifiers 1

IdentifierTypeStateIssuer
1083728299OtherCAINDIVIDUAL

National Provider Directory

National Provider Directory

Locations

2007 Cedar Ave
Manhattan Beach, CA 90266
Phone (310) 546-6500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1265715247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 CEDAR AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662955",
            "telephone_number": "310-546-6500",
            "fax_number": "310-546-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 CEDAR AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662955",
            "telephone_number": "310-546-6500",
            "fax_number": "310-546-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOI COUNSELING & PSYCHOLOGICAL TESTING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-546-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "9844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1083728299",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.