Active NPI
Lindsay Staples
- Clinical Psychologist
- Inglewood, CA
National Provider Identifier
1265803977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1493
- Practice address
- 323 N Prairie Ave
Inglewood, CA 90301-4502 - Phone
- (310) 677-7808
- NPI assigned
- Oct 8, 2015
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34514 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 1493 | NH | Primary |
Addresses
Primary practice location
323 N Prairie Ave
Inglewood, CA 90301-4502
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612
Other practice location 1
1000 W Carson St
Harbor-UCLA Med Ctr
Torrance, CA 90508
Phone (603) 738-7299
Other practice location 2
15 Nelson St
Manchester, NH 03103-2706
Phone (603) 883-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 5, 2021 through May 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34514 | CA | MD | Clinical Psychologist |
| 1493 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1265803977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304820",
"telephone_number": "310-390-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N PRAIRIE AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014502",
"telephone_number": "310-677-7808"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St",
"address_2": "Harbor-UCLA Med Ctr",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "90508",
"country_code": "US",
"telephone_number": "603-738-7299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Nelson St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031032706",
"country_code": "US",
"telephone_number": "603-883-0005",
"fax_number": "603-883-0007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAPLES",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34514",
"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": "NH",
"license": "1493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.