Neurobehavioral Medical Group Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEUROBEHAVIORAL MEDICAL GROUP INC

Practice address

716 Yarmouth Rd Ste 203
Palos Verdes Estates, CA 90274-2668

Phone

(310) 377-3070

NPI assigned

May 10, 2007

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pam Calderon

Title

Billing Manager

Phone

(310) 343-8884

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1336354885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 YARMOUTH RD STE 203",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742668",
            "telephone_number": "310-377-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 YARMOUTH RD STE 203",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742668",
            "telephone_number": "310-377-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-343-8884"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10353",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusuke Mori, L.AC
• Mukadam Medical Center Inc.
• Grace E. Murphy, RN MFT
• Farideh Z Nasserian, M.D.
• Attah Nazerzadeh
• Kalina Colleen a Noelle, PSYD
• Natalija O'Brien, MA, AMFT
• Evangelos Papadakis, LCSW #75920
• Par Anesthesia
• Michael H Park, DDS

• Psychiatry Physician in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.