Connie Battle, LICENSE MASSAGE THER

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

21880 Hawthorne Blvd # 30533939
Torrance, CA 90503-7031

Phone

(424) 477-2168

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1952866220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21880 HAWTHORNE BLVD # 30533939",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037031",
            "telephone_number": "424-477-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21880 HAWTHORNE BLVD # 30533939",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037031",
            "telephone_number": "424-477-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "CONNIE",
        "name_prefix": "Prof.",
        "credential": "LICENSE MASSAGE THER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fady Farid Fouad Bassily
• Kevin Basurto
• Kaylee Batey, RD
• Drew D Battaglia
• Andrew Kirk Battenberg, M.D.
• Brenton Scott Bauer, M.D.
• Elaine Mara Bauer, MA, CCC-SLP
• Emily Elizabeth Baumgartner
• Ashley Bautista, PHARMD
• Cynthia Vanessa Bautista

• Counseling Psychologist in Torrance, CA
• Providers in Torrance, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.