Active NPI
Mary Bugbee, PHD
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1619060662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 16946
- Practice address
- 2001 Santa Monica Blvd Ste 1080
Santa Monica, CA 90404-2136 - Phone
- (310) 339-8448
- Fax
- (310) 315-7931
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 16946 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 1080
Santa Monica, CA 90404-2136
Mailing address
6029 Bristol Pkwy
100
Culver City, CA 90230-6643
Phone (310) 417-5900
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 16946 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1619060662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 BRISTOL PKWY",
"address_2": "100",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306643",
"telephone_number": "310-417-5900",
"fax_number": "310-410-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 1080",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042136",
"telephone_number": "310-339-8448",
"fax_number": "310-315-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGBEE",
"first_name": "MARY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 16946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.