NPIMap

Organization Active NPI

Philip Lance, PHD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1861885212
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26965 Issued in CA
Legal business name
PHILIP LANCE, PHD
Practice address
839 N June St
Los Angeles, CA 90038-3511
Phone
(323) 484-4212
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Philip Lance, PH.D.NPI 1457743015
Title
Owner
Phone
(323) 484-4212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY26965 CA Primary

Addresses

Primary practice location

839 N June St
Los Angeles, CA 90038-3511

Mailing address

839 N June St
Los Angeles, CA 90038-3511
Phone (323) 484-4212

National Provider Directory

National Provider Directory

Locations

8271 Melrose Ave
Los Angeles, CA 90046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1861885212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N JUNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383511",
            "telephone_number": "323-484-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N JUNE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383511",
            "telephone_number": "323-484-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP LANCE, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-484-4212",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26965",
            "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 May 12, 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.

Verify at the official NPI Registry.