Healthcare Provider Details

I. General information

NPI: 1164809554
Provider Name (Legal Business Name): ONE NEURO PSYCHOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2015
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3649 ATLANTIC AVE STE B
LONG BEACH CA
90807-3417
US

IV. Provider business mailing address

3649 ATLANTIC AVE STE B
LONG BEACH CA
90807-3417
US

V. Phone/Fax

Practice location:
  • Phone: 310-207-1720
  • Fax: 310-207-1638
Mailing address:
  • Phone: 310-207-1720
  • Fax: 310-207-1638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA RUDD-BARNARD
Title or Position: OWNER, DIRECTOR OF NEUROPSYCHOLOGY
Credential: PSYD
Phone: 310-207-1720