Elevate Psychology and Wellness

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ELEVATE PSYCHOLOGY AND WELLNESS

Practice address

3608 Manhattan Ave
Manhattan Beach, CA 90266-3234

Phone

(310) 564-6170

NPI assigned

Oct 20, 2023

Last updated

Oct 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominique White, PHDNPI 1134901333

Title

Ceo

Phone

(310) 564-6170

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dominique White, PHD

  • Psychologist
  • Manhattan Beach, CA
  • NPI 1134901333
  NPD Authorized official

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1770365975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N SEPULVEDA BLVD UNIT 212",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902678208",
            "telephone_number": "310-564-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 MANHATTAN AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663234",
            "telephone_number": "310-564-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PSYCHOLOGY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-564-6170",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Shannon Edmunds, MD
• Kristin Egan, M.D.
• Michelle Ehrlich, MD
• Steve Elder, D.D.S.
• Electric Edge Physical Therapy P.C.
• Elizabeth Yurnet, Licensed Clinical Social Worker, PC
• Melina Elliott, M.A. CCC-SLP
• Patrice S. Elster, PH.D.
• Angelyn Lennertz England
• Enjoysamer LLC

• Psychologist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.