Active NPI
Health Development Services
- Psychologist
- Culver City, CA
National Provider Identifier
1548343908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 19358
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter Brown, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11637206 | Other | CAQH PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Culver City, CA
- NPI 1477658680
-
- Psychologist
- Whittier, CA
- NPI 1881889749
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.