Individual provider Active NPI

Nadia Judith Bijaoui, PH.D - D.H.ED - RP

  • Psychoanalyst
  • Santa Monica, CA
National Provider Identifier
1689830358
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
Practice address
100 Wilshire Blvd
Suite 940
Santa Monica, CA 90401-1110
Phone
(855) 984-1720
NPI assigned
Aug 1, 2008
Last updated
May 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2015

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Specialist 174400000X NU
Research Study Specialist 1744R1102X NU
Naturopath 175F00000X NU
Poetry Therapist 102X00000X NU
Community Health Worker 172V00000X NU
Psychoanalyst 102L00000X NU Primary
Health Psychologist 103TH0004X NU

Addresses

Primary practice location

100 Wilshire Blvd
Suite 940
Santa Monica, CA 90401-1110

Mailing address

100 Wilshire Blvd
Suite 940
Santa Monica, CA 90401-1110
Phone (855) 984-1720

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1689830358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD",
            "address_2": "SUITE 940",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011110",
            "telephone_number": "855-984-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILSHIRE BLVD",
            "address_2": "SUITE 940",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011110",
            "telephone_number": "855-984-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIJAOUI",
        "first_name": "NADIA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D - D.H.ED - RP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 17, 2015; 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.