Active NPI
Gay West Brown, LICENSED PSYCHOLOGIS
- Psychologist
- Los Angeles, CA
National Provider Identifier
1386958247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10672
- Practice address
- 4830 Orinda Ave
Los Angeles, CA 90043-1606 - Phone
- (323) 298-5728
- Fax
- (213) 241-3337
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 10672 | CA | Primary |
Addresses
Primary practice location
4830 Orinda Ave
Los Angeles, CA 90043-1606
Mailing address
4830 Orinda Ave
Los Angeles, CA 90043-1606
Phone (323) 298-5728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1386958247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 ORINDA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431606",
"telephone_number": "323-298-5728",
"fax_number": "213-241-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 ORINDA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431606",
"telephone_number": "323-298-5728",
"fax_number": "213-241-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "GAY",
"middle_name": "WEST",
"name_prefix": "Dr.",
"credential": "LICENSED PSYCHOLOGIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "10672",
"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 Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.