NPIMap

Organization Active NPI

Center for Bio-Behavioral Science Medical Corporation

  • Geriatric Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1841465622
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
G32379 Issued in CA
Legal business name
CENTER FOR BIO-BEHAVIORAL SCIENCE MEDICAL CORPORATION
Practice address
2080 Century Park E
308
Los Angeles, CA 90067-2006
Phone
(310) 556-0970
Fax
(310) 556-1014
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Ronald Mark Podell, M.D.
Title
Ceo/Owner
Phone
(310) 556-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X G32379 CA Primary

Addresses

Primary practice location

2080 Century Park E
308
Los Angeles, CA 90067-2006

Mailing address

2080 Century Park E
308
Los Angeles, CA 90067-2006
Phone (310) 556-0970

National Provider Directory

National Provider Directory

Locations

12301 Wilshire Blvd
Ste 615
Los Angeles, CA 90025
Phone (310) 312-1013

2080 Century Park E
Ste 308
Los Angeles, CA 90067
Phone (310) 556-0970

Practitioners & affiliated clinicians

Practitioners 6

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1841465622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672006",
            "telephone_number": "310-556-0970",
            "fax_number": "310-556-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672006",
            "telephone_number": "310-556-0970",
            "fax_number": "310-556-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BIO-BEHAVIORAL SCIENCE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "PODELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-556-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "G32379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 24, 2008; 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.