PSYCH LAB - NPI 1811452196 - Psychologist in Long Beach, CA

Q: What is Psych Lab Psychology, Inc.'s NPI number?

The NPI number for Psych Lab Psychology, Inc. is 1811452196. It was assigned to this organization in the NPPES registry on January 31, 2019. The provider is doing business as Psych Lab.

Q: What is Psych Lab Psychology, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Psych Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSYCH LAB (NPI 1811452196) is a healthcare organization registered as a clinical in Long Beach, California and active in the NPI registry since January 2019. The organization lists David Godot, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811452196

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePSYCH LAB PSYCHOLOGY, INC.

Location Address3950 LONG BEACH BLVD STE 101Long Beach, CA 90807-5410

Mailing Address5150 E Pacific Coast Hwy Ste 200Long Beach, CA 90804-3399 · (323) 942-9668 · Fax (323) 400-4182

Phone(562) 684-1300

Fax(562) 684-1301

Organization SubpartNo

Authorized OfficialDavid GodotCeo · (562) 684-1305

Enumeration DateJanuary 31, 2019

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1811452196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3950 LONG BEACH BLVD STE 101, Long Beach, CA 90807

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Other Names 1

Doing Business AsPsych Lab

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIA JACKSON AMFT

Counselor (Mental Health)