Healthcare Provider Details

I. General information

NPI: 1811246549
Provider Name (Legal Business Name): AHWI PSYCHOLOGY GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5580 E 2ND ST SUITE 101
LONG BEACH CA
90803-3946
US

IV. Provider business mailing address

5580 E 2ND ST SUITE 101
LONG BEACH CA
90803-3946
US

V. Phone/Fax

Practice location:
  • Phone: 562-375-0451
  • Fax: 562-433-5522
Mailing address:
  • Phone: 562-375-0451
  • Fax: 562-433-5522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY23917
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12861
License Number StateCA

VIII. Authorized Official

Name: DR. ASHVIND NAND ADKINS SINGH
Title or Position: CHIEF CLINICAL OFFICER
Credential: PH,D.
Phone: 804-512-4080