Active NPI
Joanna M Ceppi, PSY.D.
- Psychologist
- Santa Monica, CA
National Provider Identifier
1538628243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20542
- Practice address
- 2811 Wilshire Blvd Ste 660
Santa Monica, CA 90403-4823 - Phone
- (323) 825-1561
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20542 | CA | Primary |
Addresses
Primary practice location
2811 Wilshire Blvd Ste 660
Santa Monica, CA 90403-4823
Mailing address
2811 Wilshire Blvd Ste 660
Santa Monica, CA 90403-4823
Phone (323) 825-1561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20542 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1538628243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 660",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034823",
"telephone_number": "323-825-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 660",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034823",
"telephone_number": "323-825-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPPI",
"first_name": "JOANNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "20542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.