Active NPI
Trayvonne McVay
- Clinical Psychologist
- San Pedro, CA
National Provider Identifier
1962014431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94024918
- Practice address
- 624 W 9TH St Ste 103
San Pedro, CA 90731-3158 - Phone
- (818) 438-6754
- NPI assigned
- Aug 17, 2020
- Sex
- Male
- 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 Psychologist | 103TC0700X | PSB94024918 | CA | Primary |
Addresses
Primary practice location
624 W 9TH St Ste 103
San Pedro, CA 90731-3158
Mailing address
5550 Wilshire Blvd Apt 235
Los Angeles, CA 90036-4857
Phone (818) 438-6754
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 |
|---|---|---|---|
| PSB94024918 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1962014431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 WILSHIRE BLVD APT 235",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364857",
"telephone_number": "818-438-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W 9TH ST STE 103",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313158",
"telephone_number": "818-438-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVAY",
"first_name": "TRAYVONNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94024918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.