SOUTH BAY PSYCHOLOGICAL CENTER (NPI# 1083799969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083799969 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY PSYCHOLOGICAL CENTER |
| Practice Address |
24445 Hawthorne Blvd #105 Torrance CA 90505-6562 |
| Practice Telephone | 3103736359 |
| Practice Fax Number | 3103752386 |
| Mailing Telephone | 3103736359 |
| Mailing Fax Number | 3103752386 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD FRIDLEY (DIRECTOR) |
| Authorized Official Telephone | 3103736359 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PSY4440 | CA | Behavioral Health & Social Service Providers |
| Street Address |
24445 HAWTHORNE BLVD #105 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-6562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801837158 | Nancy Davis Zinner | Psychologist | 24445 Hawthorne Blvd, Suite 202, Torrance, CA 90505-6562 | 2006-06-09 |
| 1902263213 | All Hospice Care Inc | Hospice Care, Community Based | 24445 Hawthorne Blvd, Suite 208, Torrance, CA 90505-6562 | 2016-01-19 |
| 1104265719 | Jennifer Rachel Patterson | Hearing Instrument Specialist | 24445 Hawthorne Blvd, Ste. 109, Torrance, CA 90505-6562 | 2013-06-17 |
| 1679919484 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 24445 Hawthorne Blvd, Suite 109, Torrance, CA 90505-6562 | 2013-05-20 |
| 1821345307 | Nausicaa C.a. Bosneanu-de Souza | Acupuncturist | 24445 Hawthorne Blvd, Suite 104, Torrance, CA 90505-6562 | 2012-08-14 |
| 1558597534 | Ldl Apheresis Services | Pathology | 24445 Hawthorne Blvd, Suite 206, Torrance, CA 90505-6562 | 2009-06-04 |
| 1013155100 | Bonnie Beth Roesger | Acupuncturist | 24445 Hawthorne Blvd, Suite 104, Torrance, CA 90505-6562 | 2009-01-27 |
| 1467642660 | Mary Jo Komada | Acupuncturist | 24445 Hawthorne Blvd, Suite 204, Torrance, CA 90505-6562 | 2007-07-25 |
| 1437353869 | Nancy Pritchard Parks | Marriage & Family Therapist | 24445 Hawthorne Blvd, 105, Torrance, CA 90505-6562 | 2007-06-11 |
| 1811100753 | Margaret A Crosby | Marriage & Family Therapist | 24445 Hawthorne Blvd, Suite 105, Torrance, CA 90505-6562 | 2007-05-08 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075018 | Diane Weyman | Counselor | 4480 Emerald St, Torrance, CA 90503-3027 | 2020-08-25 |
| 1477188746 | Dezirae Marie Villagomez | Counselor | 4255 W 182nd St Apt J, Torrance, CA 90504-4648 | 2020-03-07 |
| 1497386338 | Susan Horvat | Counselor | 3838 W Carson St Ste 333, Torrance, CA 90503-6710 | 2020-01-29 |
| 1700362936 | Dr Julie Gray Lightedpathways Psychology Inc | Counselor | 18411 Crenshaw Blvd Ste 260, Torrance, CA 90504-5054 | 2018-07-11 |
| 1780179614 | Bianca Ramirez-leon | Counselor | 19401 S Vermont Ave # A-20, Torrance, CA 90502-1029 | 2018-06-23 |
| 1992218853 | Latasha Mitchell | Counselor | 23860 Hawthorne Blvd Ste 200, Torrance, CA 90505-8201 | 2017-11-14 |
| 1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
| 1871036277 | Elizabeth Gonzalez | Counselor | 19401 S Vermont Ave # L102, Torrance, CA 90502-1029 | 2016-12-02 |
| 1740739283 | Fumie Yoshikawa | Counselor | 1306 W Carson St Apt 125, Torrance, CA 90501-3993 | 2016-09-26 |
| 1811444946 | Enoc Elias | Counselor | 1000 W Carson St, Box 498, Torrance, CA 90509 | 2016-09-07 |
| Find all providers in TORRANCE | ||||
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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.