Healthcare Provider Details

I. General information

NPI: 1871684811
Provider Name (Legal Business Name): RICHARD C TINGEY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH ST LBVAMC
LONG BEACH CA
90822-5201
US

IV. Provider business mailing address

3342 DALEMEAD ST
TORRANCE CA
90505-6923
US

V. Phone/Fax

Practice location:
  • Phone: 562-826-5602
  • Fax:
Mailing address:
  • Phone: 310-534-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberPSY12178
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY12178
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY12178
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSY12178
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: