Atomic Shrink Psychology, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20385 Issued in CA

Legal business name

ATOMIC SHRINK PSYCHOLOGY, INC.

Practice address

1034 W Avenue L12
Suite 111
Lancaster, CA 93534-7083

Phone

(818) 481-6581

Fax

(800) 976-0803

NPI assigned

Oct 20, 2009

Last updated

Jan 28, 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, PSY.D.

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
  • Big Bear Lake, CA
  • NPI 1770922817

  O20180314001431

  Same enrollment
• Atomic Shrink Psychology, Inc.

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1144468786

  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
  • Big Bear Lake, CA
  • NPI 1770922817
  NPD tax ID
• Atomic Shrink Psychology, Inc.

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

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

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517097600000",
    "number": "1801122247",
    "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",
            "fax_number": "800-976-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 W AVENUE L12",
            "address_2": "SUITE 111",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347083",
            "telephone_number": "818-481-6581",
            "fax_number": "800-976-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATOMIC SHRINK PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2018-01-28",
        "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": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.