Westside Psych, a Group Psychology Practice

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

WESTSIDE PSYCH, A GROUP PSYCHOLOGY PRACTICE

Practice address

12304 Santa Monica Blvd Ste 379
Los Angeles, CA 90025-1542

Phone

(213) 373-4784

NPI assigned

Oct 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Anne Streeten Garrett, PSYDNPI 1568980191

Title

Licensed Psychologist

Phone

(213) 373-4784

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Streeten Garrett, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1568980191
  NPD Authorized official
• Candace Suzanne Siegmund, PSYD

  • Psychologist
  • Los Angeles, CA
  • NPI 1184972317
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1396220752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 379",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "213-373-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 379",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251542",
            "telephone_number": "213-373-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PSYCH, A GROUP PSYCHOLOGY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "STREETEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "213-373-4784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Neurotherapeutics Inc
• Westside Neurotherapeutics, LLC.
• Westside Occupational Therapy Inc
• Westside Pediatrics, Inc.
• Westside Pharmacy Corporation
• Westside Radiology & Dianostic Services, LLC.
• Westside Sober Living Centers
• Westside Technical Copr
• Westside Treatment, LLC.
• Westside Vision Optometry PC

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.