Mary Andres, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

3470 Trousdale Pkwy
WPH 1001 a
Los Angeles, CA 90089-4036

Phone

(213) 740-8521

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639383516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 4TH AVE",
            "address_2": "#103",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902918605",
            "telephone_number": "310-621-0325",
            "fax_number": "213-740-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 TROUSDALE PKWY",
            "address_2": "WPH 1001 A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900894036",
            "telephone_number": "213-740-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrei Souchitski D.D.S, Inc. (Mc Arthur Park Dental Office)
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• Chadwin Andres
• Kayla Ina Garcia Andres, AMFT
• Claire Andresen
• Coralyn Andrestaylor, RD, MPH, CHES
• Andrew Balfour & Robert Shapiro
• Andrew Clark Dean
• Andrew Finley DDS Dental Corp (LA Lux Dental)

• 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 Jul 8, 2007; 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.