Organization Active NPI

Evelyn Pechter PSYD

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1841595683
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY21132 Issued in CA
Legal business name
EVELYN PECHTER PSYD
Practice address
9911 West Pico Blvd
Suite 1050
Los Angeles, CA 90035-2712
Phone
(310) 622-5741
Fax
(310) 765-6342
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Evelyn Pechter, PSYDNPI 1619271988
Title
Owner
Phone
(310) 622-5741

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY21132 CA Primary

Addresses

Primary practice location

9911 West Pico Blvd
Suite 1050
Los Angeles, CA 90035-2712

Mailing address

4712 Admiralty Way
Suite 917
Marina del Rey, CA 90292-6905
Phone (310) 622-5741

National Provider Directory

National Provider Directory

Locations

9911 W Pico Blvd
Ste 1050
Los Angeles, CA 90035
Phone (310) 591-9581

4712 Admiralty Way
Ste 917
Marina del Rey, CA 90292

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": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1841595683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY",
            "address_2": "SUITE 917",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-622-5741",
            "fax_number": "310-765-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 WEST PICO BLVD",
            "address_2": "SUITE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352712",
            "telephone_number": "310-622-5741",
            "fax_number": "310-765-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN PECHTER PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "PECHTER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-622-5741",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21132",
            "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 Jan 25, 2011; 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.