NPIMap

Organization Active NPI

Nectar Redman Psy.D., a Psychological Corporation

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1548049588
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NECTAR REDMAN PSY.D., A PSYCHOLOGICAL CORPORATION
Practice address
11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532
Phone
(310) 773-1919
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Nectar Rachel Redman, PSY.D.NPI 1760871628
Title
President
Phone
(310) 773-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532

Mailing address

11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532
Phone (310) 710-7503

National Provider Directory

National Provider Directory

Locations

11022 Santa Monica Blvd
Ste 370
Los Angeles, CA 90025
Phone (310) 467-8244

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1548049588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257532",
            "telephone_number": "310-710-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257532",
            "telephone_number": "310-773-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECTAR REDMAN PSY.D., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "NECTAR",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-773-1919",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 28, 2023; 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.