Active NPI
Merilee R Oakes, PHD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1851425102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY4378
- Practice address
- 1106 South Broadway
Los Angeles Job Corps
Los Angeles, CA 90015 - Phone
- (213) 741-5482
- Fax
- (213) 741-5443
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY4378 | CA | Primary |
Addresses
Primary practice location
1106 South Broadway
Los Angeles Job Corps
Los Angeles, CA 90015
Mailing address
PO Box 192
Topanga, CA 90290
Phone (310) 455-3678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY4378 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851425102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192",
"city": "TOPANGA",
"state": "CA",
"postal_code": "90290",
"telephone_number": "310-455-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 SOUTH BROADWAY",
"address_2": "LOS ANGELES JOB CORPS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90015",
"telephone_number": "213-741-5482",
"fax_number": "213-741-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKES",
"first_name": "MERILEE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY4378",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.