Healthcare Provider Details

I. General information

NPI: 1790695781
Provider Name (Legal Business Name): SCOOT PSYCHOLOGICAL SERVICES APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 WILSHIRE BLVD STE 1970
LOS ANGELES CA
90036-5674
US

IV. Provider business mailing address

5670 WILSHIRE BLVD STE 1970
LOS ANGELES CA
90036-5674
US

V. Phone/Fax

Practice location:
  • Phone: 310-477-7707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NINA SINGH
Title or Position: LEAD
Credential: LMFT
Phone: 310-496-3991