Organization Active NPI

Jerome Tepperman Psychology Corp

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1619281003
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PSY5311 Issued in CA
Legal business name
JEROME TEPPERMAN PSYCHOLOGY CORP
Practice address
3921 Wilshire Blvd
Suite 200
Los Angeles, CA 90010-3317
Phone
(213) 385-2341
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Jerome Harvey Tepperman, PHD
Title
President
Phone
(213) 385-2341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PSY5311 CA Primary

Addresses

Primary practice location

3921 Wilshire Blvd
Suite 200
Los Angeles, CA 90010-3317

Mailing address

171 N Church LN
#404
Los Angeles, CA 90049-2000
Phone (213) 385-2341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1619281003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N CHURCH LN",
            "address_2": "#404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492000",
            "telephone_number": "213-385-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103317",
            "telephone_number": "213-385-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME TEPPERMAN PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "TEPPERMAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-385-2341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.