Susan B Krevoy Eating Disorders Program at Wright Institute

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SUSAN B KREVOY EATING DISORDERS PROGRAM AT WRIGHT INSTITUTE

Practice address

9911 West Pico Boulevard
Suite 720
Los Angeles, CA 90035-2709

Phone

(310) 277-2796

Fax

(310) 277-8903

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan B Krevoy, PH.D.

Title

Director

Phone

(310) 277-2796

Specialties & licenses 1

Addresses

Other names 1

• Wright Institute Other name

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467674739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 WEST PICO BOULEVARD",
            "address_2": "SUITE 720",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352709",
            "telephone_number": "310-277-2796",
            "fax_number": "310-277-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 WEST PICO BOULEVARD",
            "address_2": "SUITE 720",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352709",
            "telephone_number": "310-277-2796",
            "fax_number": "310-277-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B KREVOY EATING DISORDERS PROGRAM AT WRIGHT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREVOY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-277-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachelle Surmani
• Amy Anne Surnock, FNP
• Tapasya Dharmesh Surti, DO
• Monika Sury, LCSW
• Angela Natali Suryakusuma, DDS
• Susan Choi & Associates Inc
• Susan E Sprau MD a Professional Corporation
• Susan M Kallal, M.D. Pharm.D., a.M.C
• Susan N Fukushima MD Inc
• Susan Pekarovics MD a Professional Corporation

• 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 Aug 22, 2020; 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.