Active NPI
Scott Cross, PHD, LP, BCBA-D
- Clinical Psychologist
- Culver City, CA
National Provider Identifier
1861766958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23924
- Practice address
- 6167 Bristol Pkwy
Suite Number 130
Culver City, CA 90230-6610 - Phone
- (310) 410-4450
- Fax
- (310) 410-4455
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-00-0252 | FL | |
| Clinical Psychologist | 103TC0700X | 23924 | CA | Primary |
Addresses
Primary practice location
6167 Bristol Pkwy
Suite Number 130
Culver City, CA 90230-6610
Mailing address
6167 Bristol Pkwy
Suite Number 130
Culver City, CA 90230-6610
Phone (310) 410-4450
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 |
|---|---|---|---|
| 23924 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Behavior Intervention, Inc. | Past | Accepting new patients | |
| Lovaas Institute for Early Intervention | Behavior Analyst | Past | Accepting new patients |
| Lovaas Institute for Early Intervention | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Encino, CA
- NPI 1205101342
-
dba Lovaas Institute
- Behavior Analyst
- Culver City, CA
- NPI 1003975236
-
- Behavior Analyst
- Culver City, CA
- NPI 1881990224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1861766958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6167 BRISTOL PKWY",
"address_2": "SUITE NUMBER 130",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306610",
"telephone_number": "310-410-4450",
"fax_number": "310-410-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6167 BRISTOL PKWY",
"address_2": "SUITE NUMBER 130",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306610",
"telephone_number": "310-410-4450",
"fax_number": "310-410-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PHD, LP, BCBA-D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-00-0252",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23924",
"primary": true
}
],
"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 Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.