NPIMap

Organization Active NPI

Lux Psychology Inc.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1821702648
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LUX PSYCHOLOGY INC.
Practice address
11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532
Phone
(323) 434-7574
NPI assigned
Jan 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Dr. Herson Mojica, PSY.D.NPI 1891266367
Title
President
Phone
(978) 709-1778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532

Mailing address

11022 Santa Monica Blvd Ste 370
Los Angeles, CA 90025-7532
Phone (323) 434-7574

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1821702648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257532",
            "telephone_number": "323-434-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257532",
            "telephone_number": "323-434-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "HERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-709-1778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Private Practice Management Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11022 Santa Monica Blvd Ste 370",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900257532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.