Andrew Clark Dean

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY21280 Issued in CA

Legal business name

ANDREW CLARK DEAN

Practice address

1654 S Orange Dr
Los Angeles, CA 90019-5314

Phone

(310) 892-3235

Fax

(310) 872-1588

NPI assigned

Jul 22, 2014

Organization subpart

Yes

Parent organization

DEAN NEUROPSYCHOLOGYAs reported in NPPES

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

Authorized official

Name

Andrew Clark Dean, PH.D.

Title

Director

Phone

(310) 892-3235

Specialties & licenses 1

Addresses

Part of

Andrew Clark Dean

Locations

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1295142289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 S ORANGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195314",
            "telephone_number": "310-892-3235",
            "fax_number": "310-872-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 S ORANGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195314",
            "telephone_number": "310-892-3235",
            "fax_number": "310-872-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW CLARK DEAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEAN NEUROPSYCHOLOGY",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-892-3235",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY21280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.