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MIND WELL PSYCHOLOGICAL SERVICES PC NPI 1053740746


NPI Information

NPI: 1053740746
Provider Name: MIND WELL PSYCHOLOGICAL SERVICES, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
648 AVENUE B
REDONDO BEACH, CA
ZIP 90277
Phone: (708) 466-6443
Get Directions

MIND WELL PSYCHOLOGICAL SERVICES, PC is a clinical psychologist in Redondo Beach, CA. The provider is 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. MIND WELL PSYCHOLOGICAL SERVICES, PC NPI is 1053740746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

648 AVENUE B
REDONDO BEACH, CA
ZIP 90277-829
Phone: (708) 466-6443

The provider's authorized official is Lori Q Chaib .
The authorized official title is Director and has the following contact phone number (708) 466-6443.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 11/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY25255CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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