Independent Consulting Services

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

PSY11101 Issued in CA

Legal business name

INDEPENDENT CONSULTING SERVICES

Practice address

124 Whispering Oaks Dr
Glendora, CA 91741-3988

Phone

(818) 314-0515

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Cayem, PSYCHOLOGIST

Title

Director

Phone

(818) 314-0515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1548501323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WHISPERING OAKS DR",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413988",
            "telephone_number": "818-314-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WHISPERING OAKS DR",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413988",
            "telephone_number": "818-314-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "CAYEM",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-314-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY11101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual & Developmental Disabilities Psychologist in Glendora, CA
• Providers in Glendora, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.