South Bay Child and Family Therapy, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26369 Issued in CA

Legal business name

SOUTH BAY CHILD AND FAMILY THERAPY, INC.

Practice address

1601 Pacific Coast Hwy Ste 290
Hermosa Beach, CA 90254-3283

Phone

(424) 888-4484

NPI assigned

May 16, 2014

Last updated

May 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahrzad M Giti, PSY.D.

Title

Clinical Psychologist/Owner

Phone

(424) 888-4484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1841601473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY STE 290",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543283",
            "telephone_number": "424-888-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY STE 290",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543283",
            "telephone_number": "424-888-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY CHILD AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "GITI",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "424-888-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.