Organization Active NPI

Henry J Ortiz PSYD Inc

Doing business as Henry Ortiz PsyD

  • Clinical Psychologist
  • San Pedro, CA
National Provider Identifier
1942844311
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HENRY J ORTIZ PSYD INC
Doing business as
Henry Ortiz PsyD
Practice address
289 Dockside LN
San Pedro, CA 90731-7400
Phone
(310) 776-2667
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Dr. Henry J Ortiz, PSYD
Title
Owner
Phone
(310) 776-2667

Specialties & licenses 1

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

Addresses

Primary practice location

289 Dockside LN
San Pedro, CA 90731-7400

Mailing address

289 Dockside LN
San Pedro, CA 90731-7400
Phone (310) 776-2667

Other names 1

  • Henry Ortiz PsyD Doing business as

National Provider Directory

National Provider Directory

Locations

2001 S Barrington Ave
Ste 121
Los Angeles, CA 90025
Phone (310) 625-6083

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1942844311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 DOCKSIDE LN",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317400",
            "telephone_number": "310-776-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 DOCKSIDE LN",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317400",
            "telephone_number": "310-776-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY J ORTIZ PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-776-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ortiz PsyD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ortiz PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.