Eastside Psychological Services, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

PSY12523 Issued in CA

Legal business name

EASTSIDE PSYCHOLOGICAL SERVICES, INC.

Practice address

111 S Garfield Ave
Suite 101
Montebello, CA 90640-3800

Phone

(323) 890-0180

Fax

(323) 890-1167

NPI assigned

Feb 3, 2014

Organization subpart

No

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

Authorized official

Name

Octavio Delgado, PSYCHOLOGISTNPI 1083766489

Title

Pres/Ceo

Phone

(323) 890-0180

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Octavio Delgado, PSYCHOLOGIST

  • Group Psychotherapy Psychologist
  • Montebello, CA
  • NPI 1083766489
  NPD (past) Authorized official
• Christine Sie

  • Clinical Psychologist
  • Rosemead, CA
  • NPI 1952439812
  NPD (past)

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1972926442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E 4TH ST",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015100",
            "telephone_number": "657-622-0363",
            "fax_number": "657-622-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GARFIELD AVE",
            "address_2": "SUITE 101",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403800",
            "telephone_number": "323-890-0180",
            "fax_number": "323-890-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "323-890-0180",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "PSY12523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Duenas, O.D.
• Daniel Reuben Duran, D.D.S.
• Genesis Leann Duran, NP
• Veronica Duran
• Sharon Easton, DPT
• Edgar P. Toscano M.D. Inc.
• El Milagro Family Medical Care Inc.
• Ismat D El Souki, DC
• Makkasen Em, OD
• Emerald Healthcare Pharmacy Corp

• Public Health or Welfare Agency in Montebello, CA
• Providers in Montebello, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.