Coast Family Psychological Services Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COAST FAMILY PSYCHOLOGICAL SERVICES INC.

Practice address

12304 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-2551

Phone

(805) 507-7049

Fax

(805) 257-0517

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dana E Lieberman, PSYD

Title

Founder

Phone

(805) 507-7049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1669014429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "805-507-7049",
            "fax_number": "805-257-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "805-507-7049",
            "fax_number": "805-257-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST FAMILY PSYCHOLOGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "805-507-7049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Co
• Thien-Kim Nguyen Co, DO
• Coalition of Mental Health Professionals, Inc
• Coast Cardiology Medical Associated
• Coast Cardiology Medical Associates
• Coast to Coast Home Health Care, Inc.
• Coast Wise Solution
• Coastal Sleep Centers LLC
• Coastline Home Healthcare Inc
• Darrian Coates

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.