UCLA, Student Psychological Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LCS 20905 Issued in CA

Legal business name

UCLA, STUDENT PSYCHOLOGICAL SERVICES

Practice address

221 Westwood Plaza
John Wooden Center West
Los Angeles, CA 90095-0001

Phone

(310) 825-0768

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Gong-Guy, PH.D

Title

Director

Phone

(310) 825-0768

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1427246610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLAZA",
            "address_2": "JOHN WOODEN CENTER WEST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA, STUDENT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "GONG-GUY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-825-0768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "LCS 20905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "LCS 20905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• UCLA School of Dentistry
• UCLA School of Dentistry Esthetic
• UCLA School of Nursing Health Center
• UCLA Tele-Mental Health Hub
• UCLA Ties for Families
• Methma Harindi Udawatta, MD
• Kyle Andrew Udd-Garnica
• Juhi Uddin, D.O.
• Nadia Fatimeh Uddin
• John C. Udeani, MD

• Case Management Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.