Roni Maccabee Psychological Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RONI MACCABEE PSYCHOLOGICAL PROFESSIONAL CORPORATION

Practice address

1816 Prosser Ave Apt 4
Los Angeles, CA 90025-4829

Phone

(310) 420-9690

Fax

(888) 919-2887

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Roni B Maccabee, PHDNPI 1093931115

Title

President

Phone

(310) 420-9690

Specialties & licenses 1

Addresses

Other names 1

• CLINICAL THERAPY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Roni B Maccabee, PHD

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1093931115
  Medicare reassignment Authorized official
• Natasha Pandey

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1760871651
  NPD (past)
• Hoang Vu Khac Pham, DPT

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1962170134
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1831782077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BARRINGTON AVE # 511",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900497939",
            "telephone_number": "310-420-9690",
            "fax_number": "888-919-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 PROSSER AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254829",
            "telephone_number": "310-420-9690",
            "fax_number": "888-919-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONI MACCABEE PSYCHOLOGICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MACCABEE",
        "authorized_official_first_name": "RONI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-420-9690",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICAL THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINICAL THERAPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Elena Rondon, L.AC
• David Rondthaler
• Andrew Richard Roney, MD
• Mariann Louise Roney
• Catherine Rongey
• Ronmoe Inc
• Deanna Ronne, RDN CDN LDN
• Eric Jeffrey Ronne, MD
• Nancy Louise Ronne, LCSW
• Kristina Britt Ronnquist

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.