Organization Active NPI

Psychotherapy & Psychoeducational Assessments

Doing business as Psychotherapy & Psychoeducational Assessment Center

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1912305178
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26488 Issued in CA
Legal business name
PSYCHOTHERAPY & PSYCHOEDUCATIONAL ASSESSMENTS
Doing business as
Psychotherapy & Psychoeducational Assessment Center
Practice address
3108 Glendale Blvd # 560
Los Angeles, CA 90039-1806
Phone
(310) 779-8455
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Dr. Rachel Toles
Title
President
Phone
(310) 779-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY26488 CA Primary

Addresses

Primary practice location

3108 Glendale Blvd # 560
Los Angeles, CA 90039-1806

Mailing address

3108 Glendale Blvd # 560
Los Angeles, CA 90039-1806
Phone (310) 779-8455

Other practice location 1

2820 Glendale Blvd
Los Angeles, CA 90039-2723
Phone (310) 779-8455

Other names 1

  • Psychotherapy & Psychoeducational Assessment Center Doing business as

National Provider Directory

National Provider Directory

Locations

2820 Glendale Blvd
Ste 1
Los Angeles, CA 90039
Phone (310) 779-8455

2898 Rowena Ave
Ste 205
Los Angeles, CA 90039
Phone (310) 779-8455

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1912305178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 GLENDALE BLVD # 560",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391806",
            "telephone_number": "310-779-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 GLENDALE BLVD # 560",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391806",
            "telephone_number": "310-779-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Glendale Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900392723",
            "country_code": "US",
            "telephone_number": "310-779-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOTHERAPY & PSYCHOEDUCATIONAL ASSESSMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "TOLES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-779-8455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychotherapy & Psychoeducational Assessment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychotherapy & Psychoeducational Assessment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2018; 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.