Active NPI
Marilisa Raju, PHD Psychologist, a Professional Corporation
Doing business as M.E. Time Psychological Wellness
- Clinical Psychologist
- Hermosa Beach, CA
National Provider Identifier
1710776323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MARILISA RAJU, PHD PSYCHOLOGIST, A PROFESSIONAL CORPORATION
- Doing business as
- M.E. Time Psychological Wellness
- Practice address
- 2447 Pacific Coast Hwy Ste 200
Hermosa Beach, CA 90254-2714 - Phone
- (909) 206-5219
- NPI assigned
- May 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marilisa Raju, PHD
- Title
- Clinical Psychologist
- Phone
- (909) 206-5219
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2447 Pacific Coast Hwy Ste 200
Hermosa Beach, CA 90254-2714
Mailing address
12625 Frederick Street
St #I5-150
Moreno Valley, CA 92553
Phone (909) 206-5219
Other names 1
- M.E. Time Psychological Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Moreno Valley, CA
- NPI 1689131682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1710776323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12625 FREDERICK STREET",
"address_2": "ST #I5-150",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "92553",
"telephone_number": "909-206-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 PACIFIC COAST HWY STE 200",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542714",
"telephone_number": "909-206-5219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARILISA RAJU, PHD PSYCHOLOGIST, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "RAJU",
"authorized_official_first_name": "MARILISA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "909-206-5219",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "M.E. Time Psychological Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.