Paula Leticia Cedillo, PSY. D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

31658 Issued in CA

Practice address

1145 E Compton Blvd
Compton, CA 90221-3307

Phone

(310) 637-5555

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institutes of Health Behavioral Medicine and Medical Psychology Inc.

  • Clinical Psychologist
  • Oceanside, CA
  • NPI 1407392319
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1275168536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 PACIFIC COAST HWY STE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213307",
            "telephone_number": "310-637-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "PAULA",
        "middle_name": "LETICIA",
        "name_prefix": "Mrs.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "31658",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31658",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "31658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Castro Perales
• Doris Castro
• Fatima Milagros Castro, B.A.
• Althea C Cayonne
• Mariela Cazares Garcia
• Center of Mental and Spiritual Wellness
• Crystal Cervantes, LCSW
• Champions of Caring Connections
• Hector Chaparro II
• Elisha R Chapman

• Forensic Psychologist in Compton, CA
• Providers in Compton, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.