Organization Active NPI

Free to Be Psychology Group, Inc

  • Psychologist
  • Long Beach, CA
National Provider Identifier
1477625796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 13978 Issued in CA
Legal business name
FREE TO BE PSYCHOLOGY GROUP, INC
Practice address
211 E Ocean Blvd
Suite 259
Long Beach, CA 90802-4809
Phone
(562) 901-2053
Fax
(562) 901-2137
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julia A. Lee, PH.D.
Title
Owner
Phone
(562) 901-2053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 13978 CA Primary

Addresses

Primary practice location

211 E Ocean Blvd
Suite 259
Long Beach, CA 90802-4809

Mailing address

210 Grand Ave
Suite 305
Long Beach, CA 90803-7505
Phone (562) 209-2963

National Provider Directory

National Provider Directory

Locations

211 E Ocean Blvd
Ste 259
Long Beach, CA 90802
Phone (562) 901-2053

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477625796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GRAND AVE",
            "address_2": "SUITE 305",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908037505",
            "telephone_number": "562-209-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E OCEAN BLVD",
            "address_2": "SUITE 259",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024809",
            "telephone_number": "562-901-2053",
            "fax_number": "562-901-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE TO BE PSYCHOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-901-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 13978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • 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.