Grow True Psychology Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

GROW TRUE PSYCHOLOGY PROFESSIONAL CORPORATION

Practice address

11990 San Vicente Blvd Ste 250
Los Angeles, CA 90049-6608

Phone

(805) 601-6055

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Othene Munson, PHDNPI 1467087395

Title

Owner/President

Phone

(805) 601-6055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Othene Munson, PHD

  • Psychologist
  • Venice, CA
  • NPI 1467087395
  NPD Authorized official

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1962078477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 SAN VICENTE BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496608",
            "telephone_number": "805-601-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 SAN VICENTE BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496608",
            "telephone_number": "805-601-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW TRUE PSYCHOLOGY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "OTHENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "805-601-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Grover, L.AC
• Meera Grover, M.D.
• Rahul Grover, M.D.
• Donald Groves, M.D.
• Grovetown Pharmacy, Inc.
• Growth Extended
• Growurpotential
• Crysten Grubb, FNP
• Brendan Howard Grubbs, M.D.
• Jan M. Gruber, MD

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.