Psychme, LLC

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

198207655 Issued in CA

Legal business name

PSYCHME, LLC

Practice address

6323 Via Escondido Dr
Malibu, CA 90265-4484

Phone

(310) 589-8866

Fax

(310) 456-7156

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Edward Nalin, PSY.D.

Title

Clinical Director

Phone

(310) 589-8866

Specialties & licenses 1

Addresses

Other names 1

• Paradigm Malibu Doing business as

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1396189809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 VIA ESCONDIDO DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654484",
            "telephone_number": "310-589-8866",
            "fax_number": "310-456-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 VIA ESCONDIDO DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654484",
            "telephone_number": "310-589-8866",
            "fax_number": "310-456-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "NALIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-589-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "198207655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Malibu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Polo, M.S.,R.D., C.L.T.
• Peter M Pop, M.D.
• Jason Michael Powers, SUDRC2
• Premier Recovery Service, Inc.
• Primary Caring of Malibu Medical
• Devorah Ilene Rader, PH.D.
• Rajnikant M Patel
• Ashley J Ramstead, LMFT
• Ranch Malibu Venture 1
• Rancho del Cielo Malibu

• Children's Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.