Active NPI
Whitney Ann Dicterow, PSY.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1710147715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25847
- Practice address
- 520 S Sepulveda Blvd
Ste. 404
Los Angeles, CA 90049-3521 - Phone
- (888) 813-9613
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Psychologist | 103TC0700X | 25847 | CA | Primary |
Addresses
Primary practice location
520 S Sepulveda Blvd
Ste. 404
Los Angeles, CA 90049-3521
Mailing address
520 S Sepulveda Blvd
Ste. 404
Los Angeles, CA 90049-3521
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25847 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486771200000",
"number": "1710147715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S SEPULVEDA BLVD",
"address_2": "STE. 404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S SEPULVEDA BLVD",
"address_2": "STE. 404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493521",
"telephone_number": "888-813-9613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICTEROW",
"first_name": "WHITNEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2017-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.