Active NPI
Amy Allyn Dinoble, PH.D
- Psychologist
- Los Angeles, CA
National Provider Identifier
1962717082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 24990
- Practice address
- 1626 Westwood Blvd Ste 102
Los Angeles, CA 90024-5621 - Phone
- (310) 780-6603
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 24990 | CA | Primary |
Addresses
Primary practice location
1626 Westwood Blvd Ste 102
Los Angeles, CA 90024-5621
Mailing address
1626 Westwood Blvd Ste 102
Los Angeles, CA 90024-5621
Phone (310) 780-6603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 24990 | CA | MD | Psychologist |
| 24990 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1962717082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 WESTWOOD BLVD STE 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245621",
"telephone_number": "310-780-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 WESTWOOD BLVD STE 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245621",
"telephone_number": "310-780-6603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINOBLE",
"first_name": "AMY",
"middle_name": "ALLYN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 24990",
"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 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.