Individual provider Active NPI

Amanda Francine Lomanov, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1811478266
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94024291 Issued in CA
Practice address
1555 W Sunset Blvd Ste C
Los Angeles, CA 90026-3333
Phone
(914) 230-0897
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB94024291 CA Primary

Addresses

Primary practice location

1555 W Sunset Blvd Ste C
Los Angeles, CA 90026-3333

Mailing address

286 N Madison Ave Unit 316
Pasadena, CA 91101-4453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSB94024291CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1811478266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N MADISON AVE UNIT 316",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W SUNSET BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263333",
            "telephone_number": "914-230-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMANOV",
        "first_name": "AMANDA",
        "middle_name": "FRANCINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94024291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.