Psychcounsel LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 45901 Issued in CA

Legal business name

PSYCHCOUNSEL LLC

Practice address

1112 Ocean Dr
Suite 102
Manhattan Beach, CA 90266-5448

Phone

(310) 882-6805

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Roy, PH.D., LMFT

Title

Chief Executive Officer

Phone

(310) 882-6805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1265840482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 VENTURA PL",
            "address_2": "SUITE 203",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042626",
            "telephone_number": "310-882-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 OCEAN DR",
            "address_2": "SUITE 102",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665448",
            "telephone_number": "310-882-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHCOUNSEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-882-6805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Prinzivalli-Rolfe, MD, MPH
• Proactive Rehabilitation LLC
• John Wesley Probst, PHARMD
• Sean David Prusky, DDS
• Psychcounsel
• Psychological Wellness
• Gretchelle Quiambao
• Joanna Quintana
• Scott Curtis Rackett, M.D.
• Raju H Wadhwa

• Marriage & Family Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.