Neurodiversity Psychological Corporation
Psychologist, Clinical in Lakewood, CA. Organization (NPI-2).
NPI number1962295352
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1962295352
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurodiversity Psychological Corporation
- Organization subpart
- No
- Enumeration date
- May 28, 2025
- Certification date
- May 27, 2025
- Last updated
- May 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
4447 Palo Verde AveLakewood, CA 90713-2950
Phone 562-794-3412
Mailing address
6510 E Spring St # 622Long Beach, CA 90815-1554
Phone 562-794-3412
Other practice locations
6510 E Spring St # 622
Long Beach, CA 90815-1554
Long Beach, CA 90815-1554
Phone 562-794-3412
Authorized official
Lindsay N. Campbell
Owner
5627943412
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