NPIMap

Organization Active NPI

Pacific Resources Psychological Group

  • Group Psychotherapy Psychologist
  • Long Beach, CA
National Provider Identifier
1679665939
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
PACIFIC RESOURCES PSYCHOLOGICAL GROUP
Practice address
4201 Long Beach Blvd
Ste.230
Long Beach, CA 90807-2007
Phone
(562) 988-1000
Fax
(562) 426-5211
NPI assigned
Sep 28, 2006
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Ellen Ann Powers, PSY.D.NPI 1467549774
Title
Clinical Director/Psychologist
Phone
(562) 988-1000

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
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

4201 Long Beach Blvd
Ste.230
Long Beach, CA 90807-2007

Mailing address

4201 Long Beach Blvd
Ste.230
Long Beach, CA 90807-2007
Phone (562) 988-1000

National Provider Directory

National Provider Directory

Locations

4201 Long Beach Blvd
Ste 230
Long Beach, CA 90807
Phone (562) 988-1000

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1679665939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD",
            "address_2": "STE.230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072007",
            "telephone_number": "562-988-1000",
            "fax_number": "562-426-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD",
            "address_2": "STE.230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072007",
            "telephone_number": "562-988-1000",
            "fax_number": "562-426-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RESOURCES PSYCHOLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "562-988-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.