Organization Active NPI

Alliance Psychological Services, Inc.

  • Clinical Psychologist
  • Gardena, CA
National Provider Identifier
1417098716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17613 Issued in CA
Legal business name
ALLIANCE PSYCHOLOGICAL SERVICES, INC.
Practice address
15823 S Western Ave
Gardena, CA 90247-3703
Phone
(310) 749-0317
Fax
(310) 373-2057
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimel A. Limon, PSYDNPI 1043346208
Title
Clinical Psychologist Ceo
Phone
(310) 749-0317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY17613 CA Primary

Addresses

Primary practice location

15823 S Western Ave
Gardena, CA 90247-3703

Mailing address

21143 Hawthorne Blvd # 460
Torrance, CA 90503-4615
Phone (310) 749-0317

National Provider Directory

National Provider Directory

Locations

16340 Lower Harbor Rd
#331
Brookings, OR 97415

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417098716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21143 HAWTHORNE BLVD # 460",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034615",
            "telephone_number": "310-749-0317",
            "fax_number": "310-373-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15823 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473703",
            "telephone_number": "310-749-0317",
            "fax_number": "310-373-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIMON",
        "authorized_official_first_name": "KIMEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST CEO",
        "authorized_official_telephone_number": "310-749-0317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.