Dynamic Listening & Learning Centers Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25772 Issued in CA

Legal business name

DYNAMIC LISTENING & LEARNING CENTERS INC

Practice address

3101 Ocean Park Blvd
Suite 301
Santa Monica, CA 90405-3022

Phone

(310) 392-1600

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jackson Varady, PSY.D.NPI 1124445887

Title

Director

Phone

(310) 392-1600

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Learning and Listening Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackson Varady, PSY.D.

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1124445887
  NPD (past) Authorized official

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1780124990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD",
            "address_2": "SUITE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053022",
            "telephone_number": "310-392-1600",
            "fax_number": "310-392-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PARK BLVD",
            "address_2": "SUITE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053022",
            "telephone_number": "310-392-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC LISTENING & LEARNING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "VARADY",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-392-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Learning and Listening Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, 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 7, 2017; 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.