Active NPI
Lynn W. White, MFT
- Family Psychologist
- Los Angeles, CA
National Provider Identifier
1659461945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- MFT38180
- Practice address
- 12401 Wilshire Blvd
Suite 303
Los Angeles, CA 90025-1085 - Phone
- (310) 712-2557
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | MFT38180 | CA | Primary |
Addresses
Primary practice location
12401 Wilshire Blvd
Suite 303
Los Angeles, CA 90025-1085
Mailing address
12401 Wilshire Blvd
Suite 303
Los Angeles, CA 90025-1085
Phone (310) 712-2557
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 |
|---|---|---|---|
| MFT38180 | CA | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659461945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 WILSHIRE BLVD",
"address_2": "SUITE 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251085",
"telephone_number": "310-712-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 WILSHIRE BLVD",
"address_2": "SUITE 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251085",
"telephone_number": "310-712-2557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LYNN",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "MFT38180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- 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.