North East Los Angeles Psychology

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTH EAST LOS ANGELES PSYCHOLOGY

Doing business as

NELA Psych

Practice address

380 S Lake Ave Ste 205
Pasadena, CA 91101-5063

Phone

(310) 571-8616

NPI assigned

Mar 2, 2019

Last updated

Mar 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shain Miller, PSYD

Title

President

Phone

(310) 571-8616

Specialties & licenses 1

Addresses

Other names 1

• NELA Psych Doing business as

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551484800000",
    "number": "1659839298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 RIVERSIDE DR APT 340",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073660",
            "telephone_number": "310-314-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S LAKE AVE STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015063",
            "telephone_number": "310-571-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST LOS ANGELES PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-571-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NELA Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zelene Noris Carreon
• Dean T Noritake, MD
• Juliette Harispe Norman, PT, DPT, OCS
• Donald J Norquist, MD
• Georgianne Norris
• North Lake Health Care
• North Lake Rehab and Medical Center Inc
• Northridge After Hours Pediatric Urgent Care, Inc (After Hours Pediatric Urgent Care)
• Gregory D Northrop, MD
• Northwest Surgical Development of Pasadena LLC (Athenix Body Sculpting Institute)

• Community/Behavioral Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; 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.