Organization Active NPI

Nicholas S. Thaler PHD a Psychological Corporation

  • Clinical Neuropsychologist
  • Santa Monica, CA
National Provider Identifier
1649807058
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NICHOLAS S. THALER PHD A PSYCHOLOGICAL CORPORATION
Practice address
1526 14TH St Ste 109
Santa Monica, CA 90404-3320
Phone
(310) 570-5113
NPI assigned
Mar 25, 2020
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Nicholas Thaler, PHDNPI 1912386400
Title
Organization Official
Phone
(310) 570-5113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

1526 14TH St Ste 109
Santa Monica, CA 90404-3320

Mailing address

2950 S Bentley Ave Apt 10
Los Angeles, CA 90064-4072
Phone (310) 570-5113

National Provider Directory

National Provider Directory

Locations

1526 14th St
Ste 109
Santa Monica, CA 90404
Phone (310) 570-5113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1649807058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S BENTLEY AVE APT 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644072",
            "telephone_number": "310-570-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 14TH ST STE 109",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043320",
            "telephone_number": "310-570-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS S. THALER PHD A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "THALER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "ORGANIZATION OFFICIAL",
        "authorized_official_telephone_number": "310-570-5113",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.