Pain Psychology Center: a Licensed Clinical Social Worker PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PAIN PSYCHOLOGY CENTER: A LICENSED CLINICAL SOCIAL WORKER PC

Doing business as

Pain Psychology Center

Practice address

9777 Wilshire Blvd Ste 1007
Beverly Hills, CA 90212-1901

Phone

(310) 853-2049

NPI assigned

Mar 15, 2015

Last updated

Mar 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan Todd Gordon, LCSW

Title

President

Phone

(310) 853-2049

Specialties & licenses 1

Addresses

Other names 1

• Pain Psychology Center Doing business as

Locations

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426377600000",
    "number": "1912390907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 1007",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121901",
            "telephone_number": "310-853-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 1007",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121901",
            "telephone_number": "310-853-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN PSYCHOLOGY CENTER: A LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-853-2049",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.