PRIME PSYCHOLOGICAL SERVICES INC (NPI# 1407497985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407497985 |
| Entity Type | Organization |
| Organization Name | PRIME PSYCHOLOGICAL SERVICES INC |
| Practice Address |
3727 W 6th St Ste 614 Los Angeles CA 90020-5111 |
| Practice Telephone | 7142930123 |
| Practice Fax Number | 8888243727 |
| Mailing Telephone | 7142930123 |
| Mailing Fax Number | 8888243727 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | DR. JUSTIN CHOE (CEO) |
| Authorized Official Telephone | 7132930123 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NONE | 05 |
| Street Address |
3727 W 6TH ST STE 614 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780716233 | Justin Choe | Psychologist | 3727 W 6th St Ste 614, Los Angeles, CA 90020-5111 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| 1942831391 | Alise Cogger | Psychologist | 5026 Rosewood Ave Apt 403, Los Angeles, CA 90004-1795 | 2020-02-03 |
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1699149484 | Rachel Kim | Psychologist | 639 N Broadway Apt 306, Los Angeles, CA 90012-4507 | 2015-11-17 |
| 1689068264 | Jeritt Ross Tucker | Psychologist | 700 S Flower St Ste 1000, Los Angeles, CA 90017-4112 | 2015-03-23 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1861746257 | Kathleen Watkins | Psychologist | 5616 Adale Pl, Los Angeles, CA 90043-2108 | 2012-11-06 |
| 1437379963 | Anne Vano | Psychologist | 8170 Beverly Blvd Ste 201, Los Angeles, CA 90048-4532 | 2007-04-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
Please comment or provide details below to improve the information on PRIME PSYCHOLOGICAL SERVICES INC.
| 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.