Healthcare Provider Details

I. General information

NPI: 1801908694
Provider Name (Legal Business Name): ALAN DOWNS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N ROBERTSON BLVD #200
BEVERLY HILLS CA
90211-1729
US

IV. Provider business mailing address

PO BOX 360466
LOS ANGELES CA
90036-1048
US

V. Phone/Fax

Practice location:
  • Phone: 310-871-9368
  • Fax:
Mailing address:
  • Phone: 310-871-9368
  • Fax: 310-890-4059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number23309
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0857
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: