Organization Active NPI

Remedy Psychiatry

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1376163881
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
REMEDY PSYCHIATRY
Practice address
12011 San Vicente Blvd Ste 250
Los Angeles, CA 90049-4964
Phone
(310) 853-3169
Fax
(844) 584-4206
NPI assigned
Apr 24, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Dr. Kirsten Thompson, MDNPI 1114296704
Title
Owner
Phone
(310) 853-3169

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

12011 San Vicente Blvd Ste 250
Los Angeles, CA 90049-4964

Mailing address

200 S. Barrington Ave
PO Box 492124
Los Angeles, CA 90049-9998
Phone (310) 853-3169

National Provider Directory

National Provider Directory

Locations

12011 San Vicente Blvd
Ste 250
Los Angeles, CA 90049
Phone (310) 472-3622

200 S Barrington Ave
Unit 492124
Los Angeles, CA 90049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1376163881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. BARRINGTON AVE",
            "address_2": "PO BOX 492124",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900499998",
            "telephone_number": "310-853-3169",
            "fax_number": "844-584-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494964",
            "telephone_number": "310-853-3169",
            "fax_number": "844-584-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-853-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "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 Apr 24, 2020; 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.