Individual provider Active NPI

Martha Louise Slagerman, PH.D., PSY.D.

  • Psychoanalyst
  • Los Angeles, CA
National Provider Identifier
1356295265
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
LX9254 Issued in CA
Practice address
1117 Chantilly Rd
Los Angeles, CA 90077-2619
Phone
(310) 213-8090
NPI assigned
Feb 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X LX9254 CA Primary

Addresses

Primary practice location

1117 Chantilly Rd
Los Angeles, CA 90077-2619

Mailing address

1117 Chantilly Rd
Los Angeles, CA 90077-2619
Phone (310) 213-8090

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LX9254CAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1356295265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CHANTILLY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772619",
            "telephone_number": "310-213-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 CHANTILLY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772619",
            "telephone_number": "310-213-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGERMAN",
        "first_name": "MARTHA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "LX9254",
            "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 Feb 26, 2026; 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.