Healthcare Provider Details

I. General information

NPI: 1396172342
Provider Name (Legal Business Name): RICK DEATON, PSY.D., A PROF. PSYCH. CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2013
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7257 BEVERLY BLVD SUITE 116
LOS ANGELES CA
90036-2567
US

IV. Provider business mailing address

7257 BEVERLY BLVD STE 116
LOS ANGELES CA
90036-2567
US

V. Phone/Fax

Practice location:
  • Phone: 213-400-2434
  • Fax: 323-966-5939
Mailing address:
  • Phone: 213-400-2434
  • Fax: 213-772-3698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD BAUMAN DEATON
Title or Position: OWNER
Credential: PSYD
Phone: 213-400-2434