Active NPI
Clarissa Green, PSY.D.
- Rehabilitation Counselor
- Los Angeles, CA
National Provider Identifier
1316467400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- Vista del Mar 3200 Motor Ave
Los Angeles, CA 90034 - Phone
- (310) 836-1223
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
Vista del Mar 3200 Motor Ave
Los Angeles, CA 90034
Mailing address
3200 Motor Ave
Vista del Mar
Los Angeles, CA 90034
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1316467400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MOTOR AVE",
"address_2": "VISTA DEL MAR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VISTA DEL MAR 3200 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90034",
"telephone_number": "310-836-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CLARISSA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"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 Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.