Atomic Shrink Psychology, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20385 Issued in CA

Legal business name

ATOMIC SHRINK PSYCHOLOGY, INC

Practice address

40585 Big Bear Blvd
Suite 2
Big Bear Lake, CA 92315

Phone

(909) 255-5351

Fax

(800) 976-0803

NPI assigned

Jun 21, 2013

Last updated

Mar 17, 2018By 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

Dr. Patricia Keiko Masuda-Story, PSYD.NPI 1467490987

Title

Clinical Psychologist

Phone

(818) 481-6581

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atomic Shrink Psychology, Inc.

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1144468786

  O20180314001431

  Same enrollment
• Atomic Shrink Psychology, Inc.

  • Psychologist
  • Lancaster, CA
  • NPI 1801122247

  O20180314001431

  Same enrollment

Tax ID family

Atomic Shrink Psychology Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Atomic Shrink Psychology, Inc.

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1144468786
  NPD tax ID
• Atomic Shrink Psychology, Inc.

  • Psychologist
  • Lancaster, CA
  • NPI 1801122247
  NPD tax ID
• Atomic Shrink Psychology, Inc.

  • Psychologist
  • Jacksonville, FL
  • NPI 1982530150
  NPD tax ID

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.

• Patricia K Masuda-Story, PSY.D.

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1467490987
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1770922817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17328 VENTURA BLVD",
            "address_2": "SUITE 134",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "818-481-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40585 BIG BEAR BLVD",
            "address_2": "SUITE 2",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-255-5351",
            "fax_number": "800-976-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40415 BIG BEAR BLVD",
            "address_purpose": "LOCATION",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "country_code": "US",
            "telephone_number": "818-481-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATOMIC SHRINK PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MASUDA-STORY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KEIKO",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-481-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Almaraz, O D
• Fatima Alrazaa
• Jodie Lynn Apostle, PA-C
• Sarah Armour, RADT-1
• Emmanuel Adu Asiamah, PHARMD
• Renee Colleen Bacon
• Stephanie Elizabeth Bartel
• Be Fulfilled Therapy Solutions
• Brent Alan Beaird, MD
• Bear Mountain Family Practice

• Clinical Psychologist in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.