Active NPI
Deborah Budding
- Clinical Neuropsychologist
- Hermosa Beach, CA
National Provider Identifier
1942891502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY14538
- Practice address
- 2309 Pacific Coast Hwy Ste 208
Hermosa Beach, CA 90254-2753 - Phone
- (310) 792-8146
- NPI assigned
- Jan 27, 2021
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY14538 | CA | Primary |
Addresses
Primary practice location
2309 Pacific Coast Hwy Ste 208
Hermosa Beach, CA 90254-2753
Mailing address
2309 Pacific Coast Hwy Ste 208
Hermosa Beach, CA 90254-2753
Phone (310) 792-8146
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14538 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1942891502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 PACIFIC COAST HWY STE 208",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542753",
"telephone_number": "310-792-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 PACIFIC COAST HWY STE 208",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542753",
"telephone_number": "310-792-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDING",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY14538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.