Active NPI
Ivy Margulies, PSY.D.
- Specialist
- Santa Monica, CA
National Provider Identifier
1679908131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PSY20821
- Practice address
- 2730 Wilshire Blvd
Suite 550
Santa Monica, CA 90403-4743 - Phone
- (310) 828-7500
- Fax
- (310) 828-7511
- NPI assigned
- Sep 3, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PSY20821 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd
Suite 550
Santa Monica, CA 90403-4743
Mailing address
2730 Wilshire Blvd
Suite 550
Santa Monica, CA 90403-4743
Phone (310) 828-7500
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 |
|---|---|---|---|
| PSY20821 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1679908131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "SUITE 550",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-828-7500",
"fax_number": "310-828-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "SUITE 550",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-828-7500",
"fax_number": "310-828-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGULIES",
"first_name": "IVY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PSY20821",
"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 Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.