Active NPI
Michael Treanor, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1689172173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28572
- Practice address
- 924 Westwood Blvd Ste 400
Los Angeles, CA 90024-2934 - Phone
- (310) 210-4115
- NPI assigned
- Jan 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 28572 | CA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 28572 | CA |
Addresses
Primary practice location
924 Westwood Blvd Ste 400
Los Angeles, CA 90024-2934
Mailing address
924 Westwood Blvd Ste 400
Los Angeles, CA 90024-2934
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1689172173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 WESTWOOD BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 WESTWOOD BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242934",
"telephone_number": "310-210-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREANOR",
"first_name": "MICHAEL",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28572",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "28572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.