Individual provider Active NPI

Donald O Tessmer, PSY.D.

  • School Psychologist
  • Los Angeles, CA
National Provider Identifier
1740400530
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LEP 1817 Issued in CA
Practice address
10436 Santa Monica Blvd
3005
Los Angeles, CA 90025-6933
Phone
(310) 393-2626
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LEP CA
School Psychologist 103TS0200X LEP 1817 CA Primary

Addresses

Primary practice location

10436 Santa Monica Blvd
3005
Los Angeles, CA 90025-6933

Mailing address

4640 Glencoe Ave Apt 5
Marina del Rey, CA 90292-6388
Phone (310) 827-4307

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

LicenseStateTypeSpecialty
LEPCAMDSchool Psychologist
LEP 1817CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740400530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 GLENCOE AVE APT 5",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926388",
            "telephone_number": "310-827-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD",
            "address_2": "3005",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256933",
            "telephone_number": "310-393-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMER",
        "first_name": "DONALD",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "LEP",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP 1817",
            "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 Sep 11, 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.

Verify at the official NPI Registry.