Integrative Psychotherapy Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTEGRATIVE PSYCHOTHERAPY CENTER

Practice address

1008 E 3Rd St Apt 10
Long Beach, CA 90802-3442

Phone

(213) 422-9929

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter Edward Lathy, PSY.D., LMFTNPI 1598798118

Title

Dirctor

Phone

(213) 422-9929

Specialties & licenses 1

Addresses

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.

• Walter Lathy, M.F.T.

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1598798118
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1376306951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E 3RD ST APT 10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023442",
            "telephone_number": "213-422-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E 3RD ST APT 10",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023442",
            "telephone_number": "213-422-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "LATHY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRCTOR",
        "authorized_official_telephone_number": "213-422-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.