Individual provider Active NPI

Christopher N Norris, BCBA, LAADC, ICAADC

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1962043851
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
PSB94025073 Issued in CA
Practice address
11340 W Olympic Blvd Ste 207
Los Angeles, CA 90064-1612
Phone
(310) 621-2442
Fax
(310) 460-0274
NPI assigned
Oct 2, 2019
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X LR100000621 CA
Behavior Analyst 103K00000X 1-14-9739
Student in an Organized Health Care Education/Training Program 390200000X PSB94025073 CA Primary

Addresses

Primary practice location

11340 W Olympic Blvd Ste 207
Los Angeles, CA 90064-1612

Mailing address

2952 Somerset Dr
Los Angeles, CA 90016-4214
Phone (310) 621-2442

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

LicenseStateTypeSpecialty
LR100000621CAMDAddiction (Substance Use Disorder) Counselor
PSB94025073CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Accent on Wellness Psychology Associates, Inc. Single Specialty PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1962043851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 SOMERSET DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164214",
            "telephone_number": "310-621-2442",
            "fax_number": "310-460-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641612",
            "telephone_number": "310-621-2442",
            "fax_number": "310-460-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "BCBA, LAADC, ICAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR100000621",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-9739",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PSB94025073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.