Individual provider Active NPI

Rita Labeaune, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1477893675
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25562 Issued in CA
Practice address
6310 San Vicente Blvd Ste 425
Los Angeles, CA 90048-5446
Phone
(310) 773-0043
Fax
(310) 300-0336
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY25562 CA Primary

Addresses

Primary practice location

6310 San Vicente Blvd Ste 425
Los Angeles, CA 90048-5446

Mailing address

6310 San Vicente Blvd Ste 425
Los Angeles, CA 90048-5446
Phone (310) 773-0043

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130410000480 CA Practitioner - Clinical Psychologist 6002052388 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6310 San Vicente Blvd
Suite 425
Los Angeles, CA 90048-5446
Phone (310) 773-0043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25562CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christine D Forest, M.D. Inc. PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1477893675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485446",
            "telephone_number": "310-773-0043",
            "fax_number": "310-300-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485446",
            "telephone_number": "310-773-0043",
            "fax_number": "310-300-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABEAUNE",
        "first_name": "RITA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.