Active NPI
Elaine Carmel Semple, LEP
- School Psychologist
- Redondo Beach, CA
National Provider Identifier
1598243768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2789
- Practice address
- 1209 S Irena Ave
Redondo Beach, CA 90277-5133 - Phone
- (310) 613-7531
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-6820 | CA | |
| School Psychologist | 103TS0200X | 2789 | CA | Primary |
Addresses
Primary practice location
1209 S Irena Ave
Redondo Beach, CA 90277-5133
Mailing address
1209 S Irena Ave
Redondo Beach, CA 90277-5133
Phone (310) 613-7531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2789 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1598243768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 S IRENA AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775133",
"telephone_number": "310-613-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 S IRENA AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775133",
"telephone_number": "310-613-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMPLE",
"first_name": "ELAINE",
"middle_name": "CARMEL",
"name_prefix": "Dr.",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-10-6820",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "2789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.