Organization Active NPI

Dr. Brittany Dafesh, Clinical Psychologist Inc.

  • Clinical Psychologist
  • Redondo Beach, CA
National Provider Identifier
1972141356
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. BRITTANY DAFESH, CLINICAL PSYCHOLOGIST INC.
Practice address
1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614
Phone
(424) 272-5950
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Brittany Christine Dafesh, PSY.D.
Title
Ceo
Phone
(714) 504-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614

Mailing address

1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614
Phone (424) 272-5950

National Provider Directory

National Provider Directory

Locations

1611 S Pacific Coast Hwy
Ste 307
Redondo Beach, CA 90277
Phone (310) 818-1902

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1972141356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 307",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "424-272-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 307",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "424-272-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRITTANY DAFESH, CLINICAL PSYCHOLOGIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "DAFESH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-504-1992",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.