Individual provider Active NPI

Guy Lewis, PH.D

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1295944726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14784 Issued in CA
Practice address
8170 Beverly Blvd
Suite 108
Los Angeles, CA 90048-4524
Phone
(323) 655-3489
Fax
(323) 933-1591
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14784 CA Primary

Addresses

Primary practice location

8170 Beverly Blvd
Suite 108
Los Angeles, CA 90048-4524

Mailing address

8170 Beverly Blvd
Suite 108
Los Angeles, CA 90048-4524
Phone (323) 655-3489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000691 CA Practitioner - Clinical Psychologist 4880857515 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8170 Beverly Blvd
Suite 108
Los Angeles, CA 90048-4533
Phone (323) 655-3489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14784CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295944726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 BEVERLY BLVD",
            "address_2": "SUITE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484524",
            "telephone_number": "323-655-3489",
            "fax_number": "323-933-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 BEVERLY BLVD",
            "address_2": "SUITE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484524",
            "telephone_number": "323-655-3489",
            "fax_number": "323-933-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GUY",
        "name_prefix": "Mr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.