Organization Active NPI

Pacific Psych Solutions Inc

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1700325248
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PACIFIC PSYCH SOLUTIONS INC
Practice address
4300 Long Beach Blvd
Ste 340
Long Beach, CA 90807-2011
Phone
(562) 269-0000
Fax
(562) 269-0008
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Ellen Powers, PSY.D.
Title
President
Phone
(562) 269-0000

Specialties & licenses 1

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

Addresses

Primary practice location

4300 Long Beach Blvd
Ste 340
Long Beach, CA 90807-2011

Mailing address

4300 Long Beach Blvd
Ste 340
Long Beach, CA 90807-2011
Phone (562) 269-0000

National Provider Directory

National Provider Directory

Locations

4300 Long Beach Blvd
Ste 340
Long Beach, CA 90807
Phone (562) 269-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1700325248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "address_2": "STE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "562-269-0000",
            "fax_number": "562-269-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD",
            "address_2": "STE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072011",
            "telephone_number": "562-269-0000",
            "fax_number": "562-269-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-269-0000",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.