Mearle David Lewis

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

C39057 Issued in CA

Practice address

115 Barrington Walk
Los Angeles, CA 90049-2931

Phone

(310) 589-1600

Fax

(310) 589-1607

NPI assigned

Aug 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1457543894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6150",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90264",
            "telephone_number": "310-589-1600",
            "fax_number": "310-589-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BARRINGTON WALK",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492931",
            "telephone_number": "310-589-1600",
            "fax_number": "310-589-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MEARLE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "C39057",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "C39057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "OOC39057",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL UPIN",
            "identifier": "GR 005999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Louise Lewis, M. A,, CCC-A, FAAA
• Marisa P Lewis, N.P.
• Mark Benton Lewis
• Marquise D Lewis
• Marvin Lewis, LCSW
• Meghan Rebecca Lewis, M.D.
• Meredith Parks Lewis, M.D.
• Michael I Lewis, M.D.
• Michael S Lewis, M.D.
• Norvell Lewis, PARENT PARTNER

• Psychiatric Residential Treatment Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.