Organization Active NPI

Robynne Rudin, PH.D.

  • Psychologist
  • Hermosa Beach, CA
National Provider Identifier
1770670093
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15405 Issued in CA
Legal business name
ROBYNNE RUDIN, PH.D.
Practice address
1601 Pacific Coast Hwy
Suite290
Hermosa Beach, CA 90254-3213
Phone
(310) 302-0030
NPI assigned
Oct 6, 2006
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. Robynne Rudin Prosser, PH.D.
Title
Owner
Phone
(310) 302-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY15405 CA Primary

Addresses

Primary practice location

1601 Pacific Coast Hwy
Suite290
Hermosa Beach, CA 90254-3213

Mailing address

1601 Pacific Coast Hwy
Suite290
Hermosa Beach, CA 90254-3213
Phone (310) 302-0030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1770670093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY",
            "address_2": "SUITE290",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543213",
            "telephone_number": "310-302-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY",
            "address_2": "SUITE290",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543213",
            "telephone_number": "310-302-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYNNE RUDIN, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "ROBYNNE",
        "authorized_official_middle_name": "RUDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-302-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 7, 2015; 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.