Extraordinary You/Dr. Agnes Oh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXTRAORDINARY YOU/DR. AGNES OH

Practice address

1010 N Central Ave # 315
Glendale, CA 91202-2937

Phone

(818) 245-1129

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Agnes Oh, PSYD

Title

Owner

Phone

(818) 441-1096

Specialties & licenses 2

Addresses

Other names 1

• Dr. Agnes Oh Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Un Chu Agnes Oh, PSY.D., LMFT

  • Psychologist
  • Glendale, CA
  • NPI 1063531523
  NPD (past)

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1649748450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 315",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-245-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 315",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-245-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAORDINARY YOU/DR. AGNES OH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-441-1096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Agnes Oh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Exclusive Hospice Inc
• Evelyn Exevea, ACNP-BC
• Express Care Pharmacy Inc.
• Exprest Inc
• Exquisite Touch Hospice
• Eye Care Center Ani Halabi OD Doctor of Optometry PC
• Eye Care First , a Medical Group,Inc.
• Eye Surgical Center, LP
• Eyexam of Ca
• Shirley Eylor Asif

• Mental Health Counselor in Glendale, CA
• Providers in Glendale, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.