South Bay TMS Therapy Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

G78080 Issued in CA

Legal business name

SOUTH BAY TMS THERAPY CENTER

Practice address

509 N Sepulveda Blvd
Suite 202
Manhattan Beach, CA 90266-6746

Phone

(310) 318-2566

NPI assigned

Aug 21, 2016

Organization subpart

Yes

Parent organization

MARTHA B KOO, MD, LTDAs reported in NPPES

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

Authorized official

Name

Dr. Martha Koo, MDNPI 1497899728

Title

President

Phone

(310) 318-2566

Specialties & licenses 1

Addresses

Part of

Martha B Koo MD LTD

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.

• Martha Brewer Koo, M.D.

  • Psychiatry Physician
  • Hermosa Beach, CA
  • NPI 1497899728

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1811442767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 LARSSON ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666734",
            "telephone_number": "310-318-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N SEPULVEDA BLVD",
            "address_2": "SUITE 202",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666746",
            "telephone_number": "310-318-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY TMS THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTHA B KOO, MD, LTD",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-318-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "G78080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Leigh Smith, CRNA
• Whitney So
• Soi Counseling & Psychological Testing Center
• Shereif Sorial, PHARM.D.
• South Bay Medical Partners, Inc
• Specialty Medical Group Ca PC
• Mitchell Norman Spirt, D.C.
• Sports and Regeneration Medicine Institute Inc
• Graydon Stanley
• Julian B. Stanley, M.D.

• Mental Health Counselor in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.