Active NPI
Elizabeth Gong-Guy, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1346464641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY9768
- Practice address
- 300 Medical Plaza Suite 2200
Los Angeles, CA 90095-0001 - Phone
- (310) 486-8387
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY9768 | CA | Primary |
Addresses
Primary practice location
300 Medical Plaza Suite 2200
Los Angeles, CA 90095-0001
Mailing address
1819 Mandeville Canyon Rd
Los Angeles, CA 90049-2222
Phone (310) 486-8387
Other practice location 1
221 Westwood Plz
John Wooden Center West
Los Angeles, CA 90095
Phone (310) 825-0768
Other practice location 2
1819 Mandeville Canyon Rd
Los Angeles, CA 90049-2222
Phone (310) 486-8387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9768 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1346464641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 MANDEVILLE CANYON RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492222",
"telephone_number": "310-486-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PLAZA SUITE 2200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-486-8387"
}
],
"practiceLocations": [
{
"address_1": "221 Westwood Plz",
"address_2": "John Wooden Center West",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90095",
"country_code": "US",
"telephone_number": "310-825-0768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1819 Mandeville Canyon Rd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900492222",
"country_code": "US",
"telephone_number": "310-486-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONG-GUY",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY9768",
"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 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.