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

Active since January 31, 2019
3950 LONG BEACH BLVD STE 101, LONG BEACH, CA 90807(562) 684-1300(562) 684-1301 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Jan 31, 2019 (2 updates tracked since 2019).

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psych Lab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Psych Lab, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

David Godot, PSY.D.
Clinical Psychologist
NPI 1679941256
3950 LONG BEACH BLVD STE 101
Long Beach, CA 90807
(562) 684-1300
✔ PECOS✔ Accepts MedicareSame address
Nicolette Zangari, PHD
Clinical Psychologist
NPI 1144092099
3950 LONG BEACH BLVD
Long Beach, CA 90807
(562) 684-1300
✔ PECOS✔ Accepts MedicareSame address
Kira Xiong
Mental Health Counselor
NPI 1538765201
11601 S WESTERN AVE
Los Angeles, CA 90047
(323) 242-5000
✔ PECOS9.7 mi
Lacey Dippolito
Marriage and Family Therapist
NPI 1568105260
8605 SANTA MONICA BLVD
West Hollywood, CA 90069
(310) 734-9027
✔ PECOS✔ Accepts Medicare21 mi
Tanya Montgomery, MFTI
Marriage and Family Therapist
NPI 1467745182
15405 LANSDOWNE RD STE C
Tustin, CA 92782
(714) 258-7710
✔ PECOS24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Psych Lab Psychology, Inc. located?

Psych Lab Psychology, Inc. is located at 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807. The listed phone number is (562) 684-1300.

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

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

Is Psych Lab Psychology, Inc. enrolled in Medicare?

Yes. Psych Lab Psychology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psych Lab Psychology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Psych Lab Psychology, Inc., in Clinical Psychologist, Marriage and Family Therapist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psych Lab Psychology, Inc. was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.