Active NPI
Aleyne Danielle Eatman, PSY.D.
- Psychologist
- Culver City, CA
National Provider Identifier
1851548226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY24671
- Practice address
- 4760 Sepulveda Blvd
Culver City, CA 90230-4820 - Phone
- (661) 231-0390
- Fax
- (310) 398-5690
- NPI assigned
- Aug 27, 2008
- Last updated
- Jun 3, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 3135 | TN | |
| Psychologist | 103T00000X | PSY24671 | CA | Primary |
| Rehabilitation Counselor | 225C00000X |
Addresses
Primary practice location
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Mailing address
1540 E Colorado St
Glendale, CA 91205-1514
Phone (818) 244-7257
Other practice location 1
482 N Rosemead Blvd
Ste 103
Pasadena, CA 91107-3001
Phone (901) 372-9133
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24671 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy Christopher | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Pasadena, CA
- NPI 1164883880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1851548226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051514",
"telephone_number": "818-244-7257",
"fax_number": "818-243-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304820",
"telephone_number": "661-231-0390",
"fax_number": "310-398-5690"
}
],
"practiceLocations": [
{
"address_1": "482 N ROSEMEAD BLVD",
"address_2": "STE 103",
"address_purpose": "LOCATION",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073001",
"country_code": "US",
"telephone_number": "901-372-9133",
"fax_number": "901-372-1015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATMAN",
"first_name": "ALEYNE",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "3135",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY24671",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.