Organization Active NPI

Dr Laure Weber a Psychological Corporation

  • Clinical Psychologist
  • Pacific Palisades, CA
National Provider Identifier
1982486817
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR LAURE WEBER A PSYCHOLOGICAL CORPORATION
Practice address
1136 Embury St
Pacific Palisades, CA 90272-2503
Phone
(310) 990-3811
NPI assigned
Oct 16, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Laure WeberNPI 1851473789
Title
Doctor
Phone
(310) 990-3811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1136 Embury St
Pacific Palisades, CA 90272-2503

Mailing address

1136 Embury St
Pacific Palisades, CA 90272-2503
Phone (310) 990-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619000202 CA Part B Supplier - Clinic/Group Practice 9931642949 Receives reassigned benefits from 1 practitioner
Practice locations: Marina del Rey, CA; Pacific Palisades, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1982486817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 EMBURY ST",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722503",
            "telephone_number": "310-990-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 EMBURY ST",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722503",
            "telephone_number": "310-990-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAURE WEBER A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LAURE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "310-990-3811"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.