Reconnect Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19847 Issued in CA

Legal business name

RECONNECT PSYCHOLOGICAL SERVICES

Practice address

881 Alma Real Dr Ste 218
Pacific Palisades, CA 90272-5039

Phone

(310) 713-9855

NPI assigned

Aug 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Karol Darsa Nechushtan, PSY.D.

Title

President

Phone

(310) 713-9855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407542400000",
    "number": "1295144756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 218",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725039",
            "telephone_number": "310-713-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 218",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725039",
            "telephone_number": "310-713-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-09",
        "last_updated": "2014-08-09",
        "status": "A",
        "authorized_official_last_name": "NECHUSHTAN",
        "authorized_official_first_name": "KAROL",
        "authorized_official_middle_name": "DARSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-713-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2014; 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.