Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Managedmed Inc , a Psychological Corporation

Organization Clinical Psychologist · NPI 1578949293

Managedmed Inc , a Psychological Corporation provides Clinical Psychologist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5455 Wilshire Blvd Ste 2000
Los Angeles, CA 90036-4280 Not confirmed with CMS for 11 years — call before visiting
Phone: (323) 934-3861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 27389 (CA)

Record details

NPI number1578949293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nichole McKenzie — Licensed Psychologist · (323) 934-3861
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 4, 2015
Mailing address5455 Wilshire Blvd Ste 2000, Los Angeles, CA 90036-4280

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