Active NPI
Phillip West
- Behavior Analyst
- Arcadia, CA
National Provider Identifier
1639762206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64061
- Practice address
- 255 E Santa Clara St Ste 210
Arcadia, CA 91006-7233 - Phone
- (626) 824-0982
- NPI assigned
- Feb 15, 2021
- Last updated
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-64061 | CA | Primary |
| Assistant Behavior Analyst | 106E00000X | 11892 | CA | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
255 E Santa Clara St Ste 210
Arcadia, CA 91006-7233
Mailing address
255 E Santa Clara St Ste 210
Arcadia, CA 91006-7233
Phone (626) 824-0982
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 |
|---|---|---|---|
| 11892 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services, Inc. | Past | Accepting new patients | |
| Maxim Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Gardena, CA
- NPI 1649705336
-
- Home Health Agency
- Gardena, CA
- NPI 1679506398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1639762206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E SANTA CLARA ST STE 210",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067233",
"telephone_number": "626-824-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E SANTA CLARA ST STE 210",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067233",
"telephone_number": "626-824-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-15",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-64061",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "11892",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
- Wenche Chung, MD & Kuoting Lee, Lac a Professional Corporation
- Josh Weng, M.D.
- West Beverly Podiatry Group, Inc
- West Coast Orthopaedic Medical Group, Inc
- West Los Angeles Vamc
- Sharon Chun Wetterau, LCSW
- Lamar Matthew Whaley, LMFT
- Julie Whang, DDS, MS
- Whelan Lok, DDS Inc (Gateway Dental)
- Cynthia White
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.