Alejandro Quirarte, LEP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LEP4149 Issued in CA

Practice address

2301 E 28TH St Ste 309
Signal Hill, CA 90755-2181

Phone

(562) 907-8382

NPI assigned

Nov 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1639834732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 E 3RD ST APT F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023453",
            "telephone_number": "562-907-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E 28TH ST STE 309",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552181",
            "telephone_number": "562-907-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRARTE",
        "first_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "LEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP4149",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "LEP4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Signal Hill, CA
• Providers in Signal Hill, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.