NPIMap

Organization Active NPI

Reza Nabavi, PH.D. a Psychology Corporation

Doing business as Resolutions Therapeutic Services

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1689070427
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21276 Issued in CA
Legal business name
REZA NABAVI, PH.D. A PSYCHOLOGY CORPORATION
Doing business as
Resolutions Therapeutic Services
Practice address
2001 Wilshire Blvd
Suite 505
Santa Monica, CA 90403-5641
Phone
(800) 765-0870
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Reza R Nabavi, PH.D.NPI 1851449987
Title
Ceo
Phone
(310) 295-8726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY21276 CA Primary

Addresses

Primary practice location

2001 Wilshire Blvd
Suite 505
Santa Monica, CA 90403-5641

Mailing address

2001 Wilshire Blvd
Suite 505
Santa Monica, CA 90403-5641
Phone (800) 765-0870

Other names 1

  • Resolutions Therapeutic Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1689070427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD",
            "address_2": "SUITE 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035641",
            "telephone_number": "800-765-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD",
            "address_2": "SUITE 505",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035641",
            "telephone_number": "800-765-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA NABAVI, PH.D. A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "NABAVI",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-295-8726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolutions Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 5, 2014; 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.