Tandiwe Mushonga, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

TBD Issued in CA

Practice address

621 S Virgil Ave Ste 300
Los Angeles, CA 90005-4027

Phone

(213) 368-5401

NPI assigned

Jan 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateways FCTP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1851420079
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1376007641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054027",
            "telephone_number": "213-368-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054027",
            "telephone_number": "213-368-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHONGA",
        "first_name": "TANDIWE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn Musburger
• Museum Center Surgery Group Inc.
• Elliot Lysle Musgrave
• Charles Scott Musgrove, PSYD, MFT
• Gennady Musher, M.D., PHD.
• Aysha Mushtaq, MD
• Nicolas Musi, MD
• Music & Health, Inc.
• Sarah Musich, LCSW
• Matthew Samuel Musikanth, PA-C

• 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 Jan 30, 2019; 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.