Active NPI
Lester a Mindus PHD a Psychology Corporation
- Psychologist
- Cerritos, CA
National Provider Identifier
1275835761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P3Y5564
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00PL55640 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.