NPIMap

Organization Active NPI

Center for Integrative Neurodevelopment Psychological Services, P.C.

Doing business as Center for Integrative Neurodevelopment

  • Clinical Neuropsychologist
  • El Segundo, CA
National Provider Identifier
1427836048
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CENTER FOR INTEGRATIVE NEURODEVELOPMENT PSYCHOLOGICAL SERVICES, P.C.
Doing business as
Center for Integrative Neurodevelopment
Practice address
333 Richmond St
El Segundo, CA 90245-3730
Phone
(312) 505-9243
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Dr. April Carbone, PH.D.NPI 1134304280
Title
PH.D.
Phone
(312) 505-9243

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 NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

333 Richmond St
El Segundo, CA 90245-3730

Mailing address

333 Richmond St
El Segundo, CA 90245-3730
Phone (312) 505-9243

Other names 1

  • Center for Integrative Neurodevelopment Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1427836048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RICHMOND ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453730",
            "telephone_number": "312-505-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RICHMOND ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453730",
            "telephone_number": "312-505-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATIVE NEURODEVELOPMENT PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PH.D.",
        "authorized_official_telephone_number": "312-505-9243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Integrative Neurodevelopment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.