Lemon Heights Holdings Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10129 Issued in CA

Legal business name

LEMON HEIGHTS HOLDINGS INC.

Practice address

17215 Studebaker Road
Suite 110
Cerritos, CA 90703-2521

Phone

(562) 860-2210

Fax

(562) 860-1154

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Robert Nils Johansen, PH.D.NPI 1609860295

Title

Owner-Officer

Phone

(562) 860-2210

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Robert N Johansen, PHD

  • Psychologist
  • Cerritos, CA
  • NPI 1609860295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1982945689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907022089",
            "telephone_number": "562-860-2210",
            "fax_number": "714-940-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER ROAD",
            "address_2": "SUITE 110",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032521",
            "telephone_number": "562-860-2210",
            "fax_number": "562-860-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON HEIGHTS HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NILS",
        "authorized_official_title_or_position": "OWNER-OFFICER",
        "authorized_official_telephone_number": "562-860-2210",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY101290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Lee
• Cristian Legg
• Tasneem Legohn, RD
• Michael Leland, M.F.T.
• Stephanie Lemburg
• Evelyn Lemus, MSW
• Sylvia Lemus
• Yingxuan Leng
• Lenity Corporation
• Juan Leon Guerrero

• Psychologist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.