Organization Active NPI

Health Development Services

  • Psychologist
  • Culver City, CA
National Provider Identifier
1548343908
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 19358 Issued in CA
Legal business name
HEALTH DEVELOPMENT SERVICES
Practice address
5855 Green Valley Cir
Suite 101
Culver City, CA 90230-6946
Phone
(310) 410-9504
Fax
(310) 410-9507
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Walter Brown, PHDNPI 1477658680
Title
Psychologist
Phone
(310) 410-9504

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 MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY 19358 CA Primary

Addresses

Primary practice location

5855 Green Valley Cir
Suite 101
Culver City, CA 90230-6946

Mailing address

5855 Green Valley Cir
Suite 101
Culver City, CA 90230-6946
Phone (310) 410-9504

Other identifiers 1

IdentifierTypeStateIssuer
11637206OtherCAQH PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

5855 Green Valley Cir
Ste 101
Culver City, CA 90230
Phone (310) 410-9504

Practitioners & affiliated clinicians

Practitioners 2

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": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1548343908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 GREEN VALLEY CIR",
            "address_2": "SUITE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306946",
            "telephone_number": "310-410-9504",
            "fax_number": "310-410-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 GREEN VALLEY CIR",
            "address_2": "SUITE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306946",
            "telephone_number": "310-410-9504",
            "fax_number": "310-410-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-410-9504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 19358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "11637206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.