NPIMap

Organization Active NPI

Pacific Coast Behavioral Health Inc.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1689980443
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9813 Issued in CA
Legal business name
PACIFIC COAST BEHAVIORAL HEALTH INC.
Practice address
4305 Torrance Blvd
Suite 300
Torrance, CA 90503-4409
Phone
(310) 371-0197
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Marie A KingNPI 1508855008
Title
Clinical Psychologist
Phone
(310) 371-0197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY9813 CA Primary

Addresses

Primary practice location

4305 Torrance Blvd
Suite 300
Torrance, CA 90503-4409

Mailing address

4305 Torrance Blvd
Suite 300
Torrance, CA 90503-4409
Phone (310) 371-0197

National Provider Directory

National Provider Directory

Locations

4305 Torrance Blvd
Ste 300
Torrance, CA 90503
Phone (310) 371-0197

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1689980443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "SUITE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-371-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD",
            "address_2": "SUITE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034409",
            "telephone_number": "310-371-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-371-0197",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9813",
            "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 Aug 30, 2010; 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.