Joshua Lawrence Mirmelli, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31895 Issued in CA

Practice address

11340 W Olympic Blvd Ste 305
Los Angeles, CA 90064-1630

Phone

(305) 333-9778

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1700404647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N PALM DR UNIT 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104189",
            "telephone_number": "305-333-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641630",
            "telephone_number": "305-333-9778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 N Palm Dr Unit 305",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104189",
            "country_code": "US",
            "telephone_number": "305-333-9778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRMELLI",
        "first_name": "JOSHUA",
        "middle_name": "LAWRENCE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neeki Mirkhani, PHARMD
• Abigail Elana Mirkin, MPAP, PA-C
• Nicole Amanda Mirkin, M.ED.
• Shahin Mirkof, PSY.D.
• Drew Lauren Mirman
• Julissa Miro Quesada
• Usha S Mirpuri, LCSW
• Evan Mirsberger
• Shannon Mirshokri
• Rebekah F Mirsky, REGISTERED COUNSELOR

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.