PRT PSYCHOLOGY, INC. (NPI# 1184256109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184256109 |
| Entity Type | Organization |
| Organization Name | PRT PSYCHOLOGY, INC. |
| Practice Address |
619 S Olive St Ste 400 Los Angeles CA 90014-1547 |
| Practice Telephone | 3233883286 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-08 |
| Authorized Official Name | DR. PAUL-ROY TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 3233883286 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
619 S OLIVE ST STE 400 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90014-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821332032 | Paul-roy Taylor | Psychologist | 619 S Olive St Ste 400, Los Angeles, CA 90014-1547 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1770947525 | Dr Jeremy Martinez Md A Professional Corporation | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014 | 2016-04-07 |
| 1578924536 | Jane Shomof | Marriage & Family Therapist | 724 S Spring St #1102, Elements Therapy, Los Angeles, CA 90014 | 2016-03-17 |
| 1588069769 | Los Angeles County Department of Mental Health | Clinic/Center | 631-c Maple Ave, Los Angeles, CA 90014 | 2014-10-29 |
| 1720499619 | County of Los Angeles | Clinic/Center | 242 East 6th Street, Los Angeles, CA 90014 | 2014-05-13 |
| 1235562703 | Savonn Tep | Counselor | 631 Maple Ave Ste C, Los Angeles, CA 90014 | 2013-08-19 |
| 1760759161 | Alice Winther | Psychologist | 617 S. Olive St., Suite 510, Los Angeles, CA 90014 | 2011-11-30 |
| 1265723068 | Shemetra Lachell James | Student in an Organized Health Care Education/Training Program | 617 S. Olive St. Suite #806, Los Angeles, CA 90014 | 2011-04-27 |
| 1558533646 | Leland Scott Frazier | Psychologist | 617 S Olive St, Suite 510, Los Angeles, CA 90014 | 2008-03-28 |
| 1285846287 | United Paratransit | Non-emergency Medical Transport (VAN) | 728 S Hill St, Ste 100, Los Angeles, CA 90014 | 2007-05-04 |
| Find all providers in zip 90014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.