Los Angeles Integrative Mental Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LOS ANGELES INTEGRATIVE MENTAL HEALTH

Practice address

1990 Westwood Blvd Ste 360
Los Angeles, CA 90025-4650

Phone

(424) 222-5257

NPI assigned

Aug 17, 2024

Organization subpart

No

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

Authorized official

Name

Adam Stoker, PHDNPI 1588064158

Title

Owner/Licensed Psychologist

Phone

(424) 222-5257

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Stoker, PHD

  • Psychologist
  • Santa Monica, CA
  • NPI 1588064158
  NPD Authorized official

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1508698598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD STE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254650",
            "telephone_number": "424-222-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD STE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254650",
            "telephone_number": "424-222-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Ventura Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364485",
            "country_code": "US",
            "telephone_number": "424-222-5257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOS ANGELES INTEGRATIVE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "424-222-5257",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.