NPIMap

Organization Active NPI

Maat

  • Psychologist
  • Inglewood, CA
National Provider Identifier
1356120240
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MAAT
Doing business as
Gravity Wellnes
Practice address
3500 W Manchester Blvd
Inglewood, CA 90305-2164
Phone
(323) 855-7527
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Dr. Lance R Lenford, PSY.DNPI 1598121667
Title
Clinical Psychologist
Phone
(310) 388-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary
Community/Behavioral Health Agency 251S00000X
Train 347D00000X

Addresses

Primary practice location

3500 W Manchester Blvd
Inglewood, CA 90305-2164

Mailing address

6230 Wilshire Blvd Ste a
Los Angeles, CA 90048-5126
Phone (310) 388-2611

Other identifiers 1

IdentifierTypeStateIssuer
1598121667MedicaidCA

Other names 1

  • Gravity Wellnes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gravity Wellnes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1356120240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 WILSHIRE BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485126",
            "telephone_number": "310-388-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052164",
            "telephone_number": "323-855-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "LENFORD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-388-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347D00000X",
            "taxonomy_group": "",
            "desc": "Train",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598121667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gravity Wellnes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.