Active NPI
Mary Ann Garcia, PSY.D.
- Psychologist
- Long Beach, CA
National Provider Identifier
1881920320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 22645
- Practice address
- 2725 E Broadway
Long Beach, CA 90803-5431 - Phone
- (562) 676-6263
- NPI assigned
- Oct 18, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 22645 | CA | Primary |
Addresses
Primary practice location
2725 E Broadway
Long Beach, CA 90803-5431
Mailing address
PO Box 3449
Seal Beach, CA 90740-2449
Phone (562) 676-6263
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1881920320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3449",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402449",
"telephone_number": "562-676-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 E BROADWAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035431",
"telephone_number": "562-676-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "22645",
"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 Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.