Active NPI
Daniel Judes, PHD
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1891393963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY34918
- Practice address
- 8500 Wilshire Blvd Ste 740
Beverly Hills, CA 90211-3121 - Phone
- (213) 714-1488
- NPI assigned
- Oct 12, 2020
- Last updated
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY34918 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PS019108 | PA |
Addresses
Primary practice location
8500 Wilshire Blvd Ste 740
Beverly Hills, CA 90211-3121
Mailing address
1155 N Genesee Ave
West Hollywood, CA 90046-6210
Phone (213) 714-1488
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY34918 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Clinical Group, a Psychology Corporation | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1891393963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 N GENESEE AVE",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466210",
"telephone_number": "213-714-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 WILSHIRE BLVD STE 740",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113121",
"telephone_number": "213-714-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDES",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY34918",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Joubin S. Gabbay MD Inc
- Jourabchi Medical Corporation (The Hair and Skin Institute)
- Grace M Juarez, MD
- Thaddeus Michael Juarez, M.D.
- Debra R Judelson, M.D.
- Juge Medical Inc a Professional Corporation
- Julianne Sobel Psy.D. a Psychology Corporation
- Helene Julius, DDS, MPH
- Jeffrey S. Jumaily, M.D.
- Rachel Jumonville, PA-C, MMS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.