The Center for Neurotherapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY144313 Issued in CA

Legal business name

THE CENTER FOR NEUROTHERAPY

Practice address

3330 Barham Blvd
Suite 101-102
Los Angeles, CA 90068-1400

Phone

(323) 512-7150

Fax

(323) 512-2041

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Perri W Johnson, PH.D.NPI 1790904944

Title

President

Phone

(323) 512-7150

Specialties & licenses 1

Addresses

Other names 1

• PERRI W. JOHNSON, PH.D. Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Perri Johnson, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1790904944
  NPD (past) Authorized official
• Brian Jacob Benjamin, PSY.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1316449176
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1518130905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BARHAM BOULEVARD",
            "address_2": "SUITE 101-102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90068",
            "telephone_number": "323-512-7150",
            "fax_number": "323-512-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 BARHAM BLVD",
            "address_2": "SUITE 101-102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681400",
            "telephone_number": "323-512-7150",
            "fax_number": "323-512-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR NEUROTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PERRI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-512-7150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY144313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRI W. JOHNSON, PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.