Susan Graysen PHD a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11434 Issued in CA

Legal business name

SUSAN GRAYSEN PHD A PSYCHOLOGICAL CORPORATION

Practice address

9777 Wilshire Blvd Ste 1007
Beverly Hills, CA 90212-1901

Phone

(310) 277-7838

Fax

(310) 559-9802

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Graysen, PHDNPI 1447580626

Title

President

Phone

(310) 277-7838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan Tenhouten Graysen, PH.D.

  • Clinical Psychologist
  • Beverly Hills, CA
  • NPI 1447580626
  NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1275692188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 W PICO BLVD",
            "address_2": "# 242",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642333",
            "telephone_number": "310-277-7838",
            "fax_number": "310-559-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 1007",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121901",
            "telephone_number": "310-277-7838",
            "fax_number": "310-559-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN GRAYSEN PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "GRAYSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-277-7838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Ordin Suriel, MD
• Mark Wayne Surrey, M.D.
• Susan a Baker MD Inc
• Susan a Mandel MD Inc
• Susan Azad MD Inc
• Susan J. Edelstein, M.D., Inc.
• Susan L Williams PHD a Psychological Corporation
• Susan L. Williams PHD. a Psychological Corp.
• Liza Sutterby, PT, DPT
• Suzanne a. Trott, MD, Inc.

• Clinical Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.