Prime Psychological Services Inc

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PRIME PSYCHOLOGICAL SERVICES INC

Practice address

3727 W 6TH St Ste 614
Los Angeles, CA 90020-5111

Phone

(714) 293-0123

Fax

(888) 824-3727

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Justin Choe, PSYCHOLOGIST

Title

Ceo

Phone

(713) 293-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1407497985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205111",
            "telephone_number": "714-293-0123",
            "fax_number": "888-824-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205111",
            "telephone_number": "714-293-0123",
            "fax_number": "888-824-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-293-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drchoe@gmail.com",
            "affiliation": "N",
            "address_1": "3727 W 6th St Ste 614",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900205111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.