Active NPI
Abaci and Massey Pain Management
- Clinical Psychologist
- Los Gatos, CA
National Provider Identifier
1487975199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 23562
- Legal business name
- ABACI AND MASSEY PAIN MANAGEMENT
- Practice address
- 15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054 - Phone
- (408) 364-6799
- NPI assigned
- Jun 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Ariel Balowitz
- Title
- Licensed Clinical Psychologist
- Phone
- (408) 364-6799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 23562 | CA | Primary |
Addresses
Primary practice location
15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054
Mailing address
15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054
National Provider Directory
National Provider Directory- Tax ID family
- Abaci Massey Pain MGT Ctr
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Pain Medicine Physician
- San Rafael, CA
- NPI 1306189691
-
- Marriage & Family Therapist
- Los Gatos, CA
- NPI 1710433594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276646400000",
"number": "1487975199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15047 LOS GATOS BLVD STE 200",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15047 LOS GATOS BLVD STE 200",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322054",
"telephone_number": "408-364-6799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABACI AND MASSEY PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A",
"authorized_official_last_name": "BALOWITZ",
"authorized_official_first_name": "LEAH",
"authorized_official_middle_name": "ARIEL",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "408-364-6799"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 23562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.