Philip J. Lance, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY26965 Issued in CA

Practice address

839 N June St
Los Angeles, CA 90038-3511

Phone

(323) 484-4212

Fax

(323) 454-2370

NPI assigned

Feb 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hollywood Psychotherapy Inc

  • Psychologist
  • Los Angeles, CA
  • NPI 1851247563
  NPD Authorized official
• Philip Lance, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1861885212
  NPD (past) Authorized official

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1457743015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N JUNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383511",
            "telephone_number": "323-484-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N JUNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383511",
            "telephone_number": "323-484-4212",
            "fax_number": "323-454-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6464 W Sunset Blvd Ste 845",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900288001",
            "country_code": "US",
            "telephone_number": "323-484-4212",
            "fax_number": "323-454-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCE",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dori Lancaster
• Leonard Lancaster
• Patricia Lancaster, MFT
• Lance E.Gravely, M.D., Inc.
• Daniel J Lance, PSY.D.
• Shawn Lance, M.D.
• Alisa Joy Land, MD
• Dhyana Landa, RN, MSN
• Emily Landa
• Yael Landa, MA

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.