Individual provider Active NPI

Brittany Beyerlein, PH.D.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1689013401
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31235 Issued in CA
Practice address
25500 Hawthorne Blvd Ste 2110
Torrance, CA 90505-6835
Phone
(310) 375-4855
NPI assigned
Jun 15, 2013
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY31235 CA
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical Psychologist 103TC0700X PSY31235 CA Primary

Addresses

Primary practice location

25500 Hawthorne Blvd Ste 2110
Torrance, CA 90505-6835

Mailing address

25500 Hawthorne Blvd Ste 2110
Torrance, CA 90505-6835
Phone (310) 375-4855

Other practice location 1

2601 Airport Dr Ste 135
Torrance, CA 90505-6141
Phone (424) 201-1600

Other practice location 2

21081 S Western Ave
Suite 295
Torrance, CA 90501-1703
Phone (310) 533-6627

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY31235CAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1689013401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 HAWTHORNE BLVD STE 2110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056835",
            "telephone_number": "310-375-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 HAWTHORNE BLVD STE 2110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056835",
            "telephone_number": "310-375-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Airport Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056141",
            "country_code": "US",
            "telephone_number": "424-201-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21081 S Western Ave",
            "address_2": "Suite 295",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905011703",
            "country_code": "US",
            "telephone_number": "310-533-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYERLEIN",
        "first_name": "BRITTANY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY31235",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.