Active NPI
Tiffany Alice Dawson, PSYD
- Clinical Psychologist
- Compton, CA
National Provider Identifier
1760516496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY26763
- Practice address
- 901 W Victoria St Ste F&G
Compton, CA 90220-5807 - Phone
- (310) 669-9510
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF45566 | CA | |
| Clinical Psychologist | 103TC0700X | PSY26763 | CA | Primary |
Addresses
Primary practice location
901 W Victoria St Ste F&G
Compton, CA 90220-5807
Mailing address
901 W Victoria St Ste F&G
Compton, CA 90220-5807
Other practice location 1
2309 Pacific Coast Hwy Ste 102
Hermosa Beach, CA 90254-2752
Phone (310) 745-0707
Other practice location 2
1328 W Manchester Ave
Los Angeles, CA 90044-2240
Phone (323) 778-9593 ext. 15
Other practice location 3
1301 Pine Ave
Long Beach, CA 90813-3124
Phone (310) 669-9510
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 |
|---|---|---|---|
| PSY26763 | CA | MD | Clinical Psychologist |
| IMF45566 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1760516496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W VICTORIA ST STE F&G",
"city": "COMPTON",
"state": "CA",
"postal_code": "902205807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W VICTORIA ST STE F&G",
"city": "COMPTON",
"state": "CA",
"postal_code": "902205807",
"telephone_number": "310-669-9510"
}
],
"practiceLocations": [
{
"address_1": "2309 Pacific Coast Hwy Ste 102",
"address_purpose": "LOCATION",
"city": "Hermosa Beach",
"state": "CA",
"postal_code": "902542752",
"country_code": "US",
"telephone_number": "310-745-0707",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1328 W Manchester Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900442240",
"country_code": "US",
"telephone_number": "323-778-9593 x15",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Pine Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908133124",
"country_code": "US",
"telephone_number": "310-669-9510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "TIFFANY",
"middle_name": "ALICE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF45566",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY26763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.