Human Development Associates Clinical & Forensic Psychology Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY4089 Issued in CA

Legal business name

HUMAN DEVELOPMENT ASSOCIATES CLINICAL & FORENSIC PSYCHOLOGY INC.

Practice address

7250 Franklin Ave
Unit 1115
Los Angeles, CA 90046-3046

Phone

(323) 874-6966

Fax

(323) 874-1419

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Henry Pruitt, PHDNPI 1609957158

Title

Provider

Phone

(323) 874-6966

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Henry Pruitt Jr., PHD

  • Psychologist
  • Los Angeles, CA
  • NPI 1609957158
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1306155973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANKLIN AVE",
            "address_2": "UNIT 1115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463046",
            "telephone_number": "323-874-6966",
            "fax_number": "323-874-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANKLIN AVE",
            "address_2": "UNIT 1115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463046",
            "telephone_number": "323-874-6966",
            "fax_number": "323-874-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN DEVELOPMENT ASSOCIATES CLINICAL & FORENSIC PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "323-874-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY4089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL40890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Hultman
• Eric Michael Hultquist, PT, DPT, CSCS
• Haley Hultquist, MD
• Jacob Hum
• Larry Hum, FNP-BC
• Human Health Project
• Human Performing Enhancement, Inc
• Human Touch Chiropractic
• Humane Medical Group
• Humanistic Foundation Inc.

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.