Organization Active NPI

Dr Golden Tangalakis a Psychological Corporation

  • Psychologist
  • Redondo Beach, CA
National Provider Identifier
1467930925
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY16339 Issued in CA
Legal business name
DR GOLDEN TANGALAKIS A PSYCHOLOGICAL CORPORATION
Practice address
318 Avenue I # 71
Redondo Beach, CA 90277-5601
Phone
(310) 435-8427
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Dr. Gina Golden Tangalakis, PH.D.NPI 1952349102
Title
President
Phone
(310) 435-9428

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY16339 CA Primary

Addresses

Primary practice location

318 Avenue I # 71
Redondo Beach, CA 90277-5601

Mailing address

128 Rocky Point Rd
Palos Verdes Estates, CA 90274-2620
Phone (310) 435-9428

National Provider Directory

National Provider Directory

Locations

205 Avenida del Norte
#A
Redondo Beach, CA 90277

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": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1467930925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROCKY POINT RD",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902742620",
            "telephone_number": "310-435-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 AVENUE I # 71",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775601",
            "telephone_number": "310-435-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GOLDEN TANGALAKIS A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "GOLDEN TANGALAKIS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-435-9428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.