Pine Psychological Services a Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PINE PSYCHOLOGICAL SERVICES A PROFESSIONAL CORPORATION

Practice address

9735 Wilshire Blvd Ste 212
Beverly Hills, CA 90212-2102

Phone

(310) 275-1867

Fax

(310) 275-4838

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Pamela S Pine, PH.D.

Title

Director

Phone

(310) 275-1867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Gayle Marcus, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1740204288
  Medicare reassignment NPD
• Joseph Naylor Kenan, M.D.

  • Child & Adolescent Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1225302755
  NPD (past)
• Marguerite A Saunders, PSY.D.

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1831250406
  NPD (past)
• Michael J Whitman, PSY.D.

  • Psychologist
  • Beverly Hills, CA
  • NPI 1760634158
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1689840126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 212",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122102",
            "telephone_number": "310-275-1867",
            "fax_number": "310-275-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 212",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122102",
            "telephone_number": "310-275-1867",
            "fax_number": "310-275-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PSYCHOLOGICAL SERVICES A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-275-1867",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Pick, D.C.
• Marc Gregory Pick, D.C.
• Patrick Gerard Pieper, M.D.
• Philip Pierce, PH.D.
• Marie Toni Rachelle Pimentel, PT
• Pamela Sue Pine, PH.D.
• Pink Lotus Medical Inc
• Maggie Mojgan Pinshaw, DOCTOR OF PHARMACY
• Nanaz M. Pirnia, PH.D., BCIA, MFT
• Pismo Wellness Inc., a Professional Medical Corporation

• Clinical Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.