Active NPI
Teri Jean McHale, PH.D.
- Clinical Psychologist
- Redondo Beach, CA
National Provider Identifier
1306081211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB33531
- Practice address
- 2110 Artesia Blvd
#B346
Redondo Beach, CA 90278-3073 - Phone
- (310) 421-1875
- NPI assigned
- Dec 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB33531 | CA | Primary |
| Clinical Neuropsychologist | 103G00000X |
Addresses
Primary practice location
2110 Artesia Blvd
#B346
Redondo Beach, CA 90278-3073
Mailing address
2110 Artesia Blvd
#B346
Redondo Beach, CA 90278-3073
Phone (310) 421-1875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB33531 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1306081211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 ARTESIA BLVD",
"address_2": "#B346",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783073",
"telephone_number": "310-421-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 ARTESIA BLVD",
"address_2": "#B346",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783073",
"telephone_number": "310-421-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHALE",
"first_name": "TERI",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB33531",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.