Joseph Henry Pruitt Jr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31479482 Issued in CA

Practice address

7250 Franklin Ave
Unit 1115
Los Angeles, CA 90046-3049

Phone

(323) 874-6966

Fax

(323) 874-1419

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Human Development Associates Clinical & Forensic Psychology Inc.

  • Psychologist
  • Los Angeles, CA
  • NPI 1306155973
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1609957158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANKLIN AVE",
            "address_2": "UNIT 1115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463049",
            "telephone_number": "323-874-6966",
            "fax_number": "323-874-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANKLIN AVE",
            "address_2": "UNIT 1115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463049",
            "telephone_number": "323-874-6966",
            "fax_number": "323-874-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31479482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PL40890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abel Prudhomme
• Jonathan L Pruett
• Jay D. Pruetz, M.D.
• Geone Pruitt, COUNSELOR
• Jasmin J Pruitt
• Laura Nicole Pruitt, M.D.
• Madison Pruitt
• Nylicia Lacy Pruitt
• Oronica Pruitt
• Janessa Martinez Prum, BS, SLP-A

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.