Organization Active NPI

Joanne Barge, PHD. Inc., a Psychology Corporation

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1437595543
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14116 Issued in CA
Legal business name
JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION
Practice address
12011 San Vicente Blvd Ste 510
Los Angeles, CA 90049-4947
Phone
(310) 472-2329
Fax
(310) 472-1399
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. Joanne P Barge, PH.D.
Title
Owner
Phone
(310) 472-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY14116 CA Primary

Addresses

Primary practice location

12011 San Vicente Blvd Ste 510
Los Angeles, CA 90049-4947

Mailing address

12011 San Vicente Blvd Ste 510
Los Angeles, CA 90049-4947
Phone (310) 472-2329

National Provider Directory

National Provider Directory

Locations

12011 San Vicente Blvd
Ste 510
Los Angeles, CA 90049
Phone (310) 440-1015

11980 San Vicente Blvd
Ste 810D
Los Angeles, CA 90049
Phone (310) 820-6300

Practitioners & affiliated clinicians

Practitioners 2

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": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1437595543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494947",
            "telephone_number": "310-472-2329",
            "fax_number": "310-472-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494947",
            "telephone_number": "310-472-2329",
            "fax_number": "310-472-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE BARGE, PHD. INC., A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "BARGE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-472-2329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.