Lori Q Chaib, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25255 Issued in CA

Practice address

648 Avenue B
Redondo Beach, CA 90277-4829

Phone

(708) 466-6443

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind Well Psychological Services, PC

  • Clinical Psychologist
  • Redondo Beach, CA
  • NPI 1053740746
  NPD (past) Authorized official
• Mind Well Psychological Services, LLC.

  • Clinical Psychologist
  • Burr Ridge, IL
  • NPI 1629380290
  NPD (past) Authorized official
• Marlin C Hoover PHD PC

  • Clinical Psychologist
  • Tinley Park, IL
  • NPI 1871578625
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1952565079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 AVENUE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774829",
            "telephone_number": "708-466-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 AVENUE B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902774829",
            "telephone_number": "708-466-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIB",
        "first_name": "LORI",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HA734A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Caswick, LCSW
• Celynna Harnetiaux Individual, Couple and Family Therapy Inc.
• Diana Cetz
• Shanel Chab
• Mikaela Chacon
• Helen Elle Chambers, M.S. CCC-SLP
• Elaine Chan
• Michael Chan, DPT
• William Wai-Leong Chan, D.D.S.
• Yan Yu Grace Chan

• Clinical Psychologist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.