NPIMap

Organization Active NPI

Boston Child Study Center Los Angeles Licensed Clinical Social Work SE

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1992273338
Registry record updated Nov 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BOSTON CHILD STUDY CENTER LOS ANGELES LICENSED CLINICAL SOCIAL WORK SE
Practice address
11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584
Phone
(888) 225-1995
NPI assigned
Nov 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2018

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

Authorized official

Name
Dr. Ryan J Madigan, PSY.D.NPI 1467854299
Title
Founder & Director
Phone
(617) 299-0228

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584

Mailing address

729 Boylston St FL 5
Boston, MA 02116-2639
Phone (617) 299-0228

Other names 1

  • Boston Child Study Center Los Angeles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541289600000",
    "number": "1992273338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 BOYLSTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162639",
            "telephone_number": "617-299-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641584",
            "telephone_number": "888-225-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CHILD STUDY CENTER LOS ANGELES LICENSED CLINICAL SOCIAL WORK SE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-04",
        "last_updated": "2018-11-04",
        "status": "A",
        "authorized_official_last_name": "MADIGAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "617-299-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Child Study Center Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 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.

Verify at the official NPI Registry.