Organization Active NPI

Peak Psychology Inc

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1306301593
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEAK PSYCHOLOGY INC
Practice address
2211 Corinth Ave Ste 310
Los Angeles, CA 90064-1622
Phone
(310) 781-0187
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Jesse Lauricella
Title
Owner
Phone
(310) 781-0187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2211 Corinth Ave Ste 310
Los Angeles, CA 90064-1622

Mailing address

3235 Donald Douglas Loop S
Santa Monica, CA 90405-3213
Phone (310) 271-9660

Other practice location 1

3235 Donald Douglas Loop S
Santa Monica, CA 90405-3213
Phone (310) 271-9660

National Provider Directory

National Provider Directory

Locations

2211 Corinth Ave
Ste 310
Los Angeles, CA 90064
Phone (310) 455-3350

3235 Donald Douglas Loop S
Santa Monica, CA 90405
Phone (310) 271-9660

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1306301593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 DONALD DOUGLAS LOOP S",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053213",
            "telephone_number": "310-271-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641622",
            "telephone_number": "310-781-0187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 Donald Douglas Loop S",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904053213",
            "country_code": "US",
            "telephone_number": "310-271-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "LAURICELLA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-781-0187"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.