Organization Active NPI

Mara Tansman, Psy.D. a Professional Psychological Corporation

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1528517786
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16710 Issued in CA
Legal business name
MARA TANSMAN, PSY.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
10323 Santa Monica Blvd
Los Angeles, CA 90025-6071
Phone
(310) 734-0306
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Dr. Mara Tansman, PSY.D.
Title
President
Phone
(310) 734-0306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY16710 CA Primary

Addresses

Primary practice location

10323 Santa Monica Blvd
Los Angeles, CA 90025-6071

Mailing address

1445 S Castello Ave
Los Angeles, CA 90035-2807
Phone (310) 734-0306

National Provider Directory

National Provider Directory

Locations

10323 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 340-0089

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1528517786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 S CASTELLO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352807",
            "telephone_number": "310-734-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256071",
            "telephone_number": "310-734-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARA TANSMAN, PSY.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "TANSMAN",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-734-0306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.