Organization Active NPI

Lester a Mindus PHD a Psychology Corporation

  • Psychologist
  • Cerritos, CA
National Provider Identifier
1275835761
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P3Y5564 Issued in CA
Legal business name
LESTER A MINDUS PHD A PSYCHOLOGY CORPORATION
Practice address
17215 Studebaker Road
Suite 110
Cerritos, CA 90703-2521
Phone
(562) 860-2210
Fax
(526) 860-1154
NPI assigned
Dec 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Lester A Mindus, PH.D.
Title
Provider/Owner
Phone
(562) 860-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X P3Y5564 CA Primary

Addresses

Primary practice location

17215 Studebaker Road
Suite 110
Cerritos, CA 90703-2521

Mailing address

17215 Studebaker Road
Suite 110
Cerritos, CA 90703-2521
Phone (562) 860-2210

Other identifiers 1

IdentifierTypeStateIssuer
00PL55640MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1275835761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER ROAD",
            "address_2": "SUITE 110",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032521",
            "telephone_number": "562-860-2210",
            "fax_number": "526-860-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER ROAD",
            "address_2": "SUITE 110",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032521",
            "telephone_number": "562-860-2210",
            "fax_number": "526-860-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER A MINDUS PHD A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "MINDUS",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "562-860-2210",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "P3Y5564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL55640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.