Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Managedmed Inc , a Psychological Corporation

Organization Clinical Psychologist · NPI 1578949293

Managedmed Inc , a Psychological Corporation is a Clinical Psychologist 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
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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