Active NPI
Brittany Nicole Beasley, PH.D.
- Counseling Psychologist
- Los Angeles, CA
National Provider Identifier
1962980201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY30071
- Practice address
- 1031 W. 34TH St.
3Rd Floor, Suite 304
Los Angeles, CA 90089 - Phone
- (213) 740-7711
- NPI assigned
- Jul 30, 2018
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY30071 | CA | Primary |
Addresses
Primary practice location
1031 W. 34TH St.
3Rd Floor, Suite 304
Los Angeles, CA 90089
Mailing address
945 Beacon Ave Apt 100
Los Angeles, CA 90015-1120
Phone (773) 680-6007
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30071 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1962980201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 BEACON AVE APT 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151120",
"telephone_number": "773-680-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 W. 34TH ST.",
"address_2": "3RD FLOOR, SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90089",
"telephone_number": "213-740-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY30071",
"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 Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.