Managedmed Inc., a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27389 Issued in CA

Legal business name

MANAGEDMED INC., A PSYCHOLOGICAL CORPORATION

Practice address

5455 Wilshire Blvd Ste 2000
Los Angeles, CA 90036-4280

Phone

(323) 934-3861

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By 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

Nichole Janelle McKenzie, PSY.D.

Title

Licensed Psychologist

Phone

(323) 934-3861

Specialties & licenses 1

Addresses

Tax ID family

Managedmed Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Managedmed, Inc.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1366738676
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ranita Hahm, NP

  • Adult Health Nurse Practitioner
  • Palmdale, CA
  • NPI 1881058188
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1578949293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 WILSHIRE BLVD STE 2000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364280",
            "telephone_number": "323-934-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 WILSHIRE BLVD STE 2000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364280",
            "telephone_number": "323-934-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEDMED INC., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "JANELLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-934-3861",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Man, MD/PHD
• Oi Wan Alia Man
• Mana & Company
• Lauren Beatrice Balala Manabat
• Stephen Manabat
• Managedmed, Inc.
• Management, Inc.
• Management, Inc.
• Danilo Cruz Manahan, DMD
• Louisa Manalac, NP

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.