Organization Active NPI

Acorn Family Guidance Center, a Professional Psychological Corporation

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1356880462
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY28903 Issued in CA
Legal business name
ACORN FAMILY GUIDANCE CENTER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
12777 W Jefferson Blvd
Building D, Suite 300
Los Angeles, CA 90066-7048
Phone
(424) 289-2725
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dr. Carin Laue, PSY.D.NPI 1407264609
Title
Clinical Child Psychologist
Phone
(424) 289-2725

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY28903 CA Primary

Addresses

Primary practice location

12777 W Jefferson Blvd
Building D, Suite 300
Los Angeles, CA 90066-7048

Mailing address

12777 W Jefferson Blvd
Building D, Suite 300
Los Angeles, CA 90066-7048
Phone (424) 289-2725

National Provider Directory

National Provider Directory

Locations

12777 W Jefferson Blvd
Ste 300
Los Angeles, CA 90066
Phone (323) 696-0386

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1356880462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 W JEFFERSON BLVD",
            "address_2": "BUILDING D, SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667048",
            "telephone_number": "424-289-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 W JEFFERSON BLVD",
            "address_2": "BUILDING D, SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667048",
            "telephone_number": "424-289-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN FAMILY GUIDANCE CENTER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "LAUE",
        "authorized_official_first_name": "CARIN",
        "authorized_official_title_or_position": "CLINICAL CHILD PSYCHOLOGIST",
        "authorized_official_telephone_number": "424-289-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY28903",
            "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 22, 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.

Verify at the official NPI Registry.