Active NPI
Joy E. Carter-Chastain, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1992740807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 13609
- Practice address
- 12304 Santa Monica Blvd
# 215-A
Los Angeles, CA 90025-2551 - Phone
- (310) 785-7176
- Fax
- (310) 820-4432
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 13609 | CA | Primary |
Addresses
Primary practice location
12304 Santa Monica Blvd
# 215-A
Los Angeles, CA 90025-2551
Mailing address
5133 Sophia Ave
Encino, CA 91436-1309
Phone (818) 907-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 13609 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare of California Medical Group | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Paradise, CA
- NPI 1316992829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1992740807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5133 SOPHIA AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361309",
"telephone_number": "818-907-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 SANTA MONICA BLVD",
"address_2": "# 215-A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252551",
"telephone_number": "310-785-7176",
"fax_number": "310-820-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER-CHASTAIN",
"first_name": "JOY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 13609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.