Active NPI
Ioana Pal, PSYD
- Clinical Psychologist
- Long Beach, CA
National Provider Identifier
1861682569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28368
- Practice address
- 2651 Elm Ave
Suite 205
Long Beach, CA 90806-1637 - Phone
- (562) 728-5034
- Fax
- (562) 490-9413
- NPI assigned
- Jul 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY28368 | CA | Primary |
Addresses
Primary practice location
2651 Elm Ave
Suite 205
Long Beach, CA 90806-1637
Mailing address
2651 Elm Ave
Suite 205
Long Beach, CA 90806-1637
Phone (562) 728-5034
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28368 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1861682569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 ELM AVE",
"address_2": "SUITE 205",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061637",
"telephone_number": "562-728-5034",
"fax_number": "562-490-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 ELM AVE",
"address_2": "SUITE 205",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061637",
"telephone_number": "562-728-5034",
"fax_number": "562-490-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAL",
"first_name": "IOANA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-28",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.