Clements Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLEMENTS PSYCHOLOGICAL SERVICES INC

Doing business as

Metro City Wellness

Practice address

520 S Grand Ave Ste 671
Los Angeles, CA 90071-2655

Phone

(323) 539-0555

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Crystal Clements, PHDNPI 1811689425

Title

Ceo

Phone

(323) 539-0555

Specialties & licenses 1

Addresses

Other names 1

• Metro City Wellness Doing business as

Practitioners 1

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

• Crystal Clements

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1811689425
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1366134157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 HARCROSS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S GRAND AVE STE 671",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712655",
            "telephone_number": "323-539-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTS PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-539-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro City Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clegg, NP Corp
• Daniel O'Neal Cleland, PT
• Kathleen Lynn Clemans, D.D.S.
• Samantha Melanie Clemens, M.A.
• Michael Thomas Clement
• Carilla Clements
• Crystal Clements
• Isabella Clements
• Jessica Clements
• Philip J Clements, MD

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.